{ "reporting_entity_name": "SCRIPPS", "reporting_entity_type": "HEALTH PLAN", "last_updated_on": "2026-07-23", "version": "2.0.1", "provider_references": [ { "provider_group_id": 29089079, "provider_groups": [ { "npi": [ 1235169319 ], "tin": { "type": "ein", "value": "200568501", "business_name": "JAMES J LONGOBARDI DPM INC" } }, { "npi": [ 1235169319 ], "tin": { "type": "ein", "value": "200568501", "business_name": "JAMES J LONGOBARDI DPM INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051108, "provider_groups": [ { "npi": [ 1932154788 ], "tin": { "type": "ein", "value": "953134847", "business_name": "J ROBERT WEST MD INC DBA WEST DERMATOLOGY AND SURGERY MEDICA" } }, { "npi": [ 1932154788 ], "tin": { "type": "ein", "value": "953134847", "business_name": "J ROBERT WEST MD INC DBA WEST DERMATOLOGY AND SURGERY MEDICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28939066, "provider_groups": [ { "npi": [ 1679160931 ], "tin": { "type": "ein", "value": "912169315", "business_name": "CULTURE OF LIFE FAMILY SERVICES" } }, { "npi": [ 1679160931 ], "tin": { "type": "ein", "value": "912169315", "business_name": "CULTURE OF LIFE FAMILY SERVICES" } }, { "npi": [ 1679160931 ], "tin": { "type": "ein", "value": "912169315", "business_name": "CULTURE OF LIFE FAMILY SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998385, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032998, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998360, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998359, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998362, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998376, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998377, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998364, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998365, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998386, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998392, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091240, "provider_groups": [ { "npi": [ 1225663826 ], "tin": { "type": "ein", "value": "842566334", "business_name": "UPPERLINE HEALTHCARE CALIFORNIA PC" } }, { "npi": [ 1225663826 ], "tin": { "type": "ein", "value": "842566334", "business_name": "UPPERLINE HEALTHCARE CALIFORNIA PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29089081, "provider_groups": [ { "npi": [ 1619636065 ], "tin": { "type": "ein", "value": "873295299", "business_name": "ALAYNA PUCCINELLI D P M A PROFESSIONAL CORPORATION" } }, { "npi": [ 1619636065 ], "tin": { "type": "ein", "value": "873295299", "business_name": "ALAYNA PUCCINELLI D P M A PROFESSIONAL CORPORATION" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979411, "provider_groups": [ { "npi": [ 1790828754 ], "tin": { "type": "ein", "value": "307864356", "business_name": "CYRUS TORCHINSKY MD PHD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064759, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 28979420, "provider_groups": [ { "npi": [ 1932154788 ], "tin": { "type": "ein", "value": "953134847", "business_name": "J ROBERT WEST MD INC DBA WEST DERMATOLOGY AND SURGERY MEDICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032990, "provider_groups": [ { "npi": [ 1245290899 ], "tin": { "type": "ein", "value": "952666087", "business_name": "CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC" } }, { "npi": [ 1245290899 ], "tin": { "type": "ein", "value": "952666087", "business_name": "CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC" } }, { "npi": [ 1245290899 ], "tin": { "type": "ein", "value": "952666087", "business_name": "CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC" } }, { "npi": [ 1245290899 ], "tin": { "type": "ein", "value": "952666087", "business_name": "CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC" } }, { "npi": [ 1245290899 ], "tin": { "type": "ein", "value": "952666087", "business_name": "CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980140, "provider_groups": [ { "npi": [ 1023103967 ], "tin": { "type": "ein", "value": "200720795", "business_name": "LETICIA UWEDJOJEVWE MD MED CORPORATION" } }, { "npi": [ 1023103967 ], "tin": { "type": "ein", "value": "200720795", "business_name": "LETICIA UWEDJOJEVWE MD MED CORPORATION" } }, { "npi": [ 1023103967 ], "tin": { "type": "ein", "value": "200720795", "business_name": "LETICIA UWEDJOJEVWE MD MED CORPORATION" } }, { "npi": [ 1023103967 ], "tin": { "type": "ein", "value": "200720795", "business_name": "LETICIA UWEDJOJEVWE MD MED CORPORATION" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966621, "provider_groups": [ { "npi": [ 1316244619 ], "tin": { "type": "ein", "value": "330648902", "business_name": "DANIEL MICHAEL MD INC DBA LA JOLLA VILLAGE FAMILY MEDICAL GR" } }, { "npi": [ 1316244619 ], "tin": { "type": "ein", "value": "330648902", "business_name": "DANIEL MICHAEL MD INC DBA LA JOLLA VILLAGE FAMILY MEDICAL GR" } }, { "npi": [ 1316244619 ], "tin": { "type": "ein", "value": "330648902", "business_name": "DANIEL MICHAEL MD INC DBA LA JOLLA VILLAGE FAMILY MEDICAL GR" } }, { "npi": [ 1316244619 ], "tin": { "type": "ein", "value": "330648902", "business_name": "DANIEL MICHAEL MD INC DBA LA JOLLA VILLAGE FAMILY MEDICAL GR" } }, { "npi": [ 1316244619 ], "tin": { "type": "ein", "value": "330648902", "business_name": "DANIEL MICHAEL MD INC DBA LA JOLLA VILLAGE FAMILY MEDICAL GR" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28967251, "provider_groups": [ { "npi": [ 1316244619 ], "tin": { "type": "ein", "value": "330648902", "business_name": "DANIEL MICHAEL MD INC DBA LA JOLLA VILLAGE FAMILY MEDICAL GR" } }, { "npi": [ 1316244619 ], "tin": { "type": "ein", "value": "330648902", "business_name": "DANIEL MICHAEL MD INC DBA LA JOLLA VILLAGE FAMILY MEDICAL GR" } }, { "npi": [ 1316244619 ], "tin": { "type": "ein", "value": "330648902", "business_name": "DANIEL MICHAEL MD INC DBA LA JOLLA VILLAGE FAMILY MEDICAL GR" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051094, "provider_groups": [ { "npi": [ 1124545074 ], "tin": { "type": "ein", "value": "821900716", "business_name": "HEAD AND NECK SURGERY SPECIALISTS" } }, { "npi": [ 1124545074 ], "tin": { "type": "ein", "value": "821900716", "business_name": "HEAD AND NECK SURGERY SPECIALISTS" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998375, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998372, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970299, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082611, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082618, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082622, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082623, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957521, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998384, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998387, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998389, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998363, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998367, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998379, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998380, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970288, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970289, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970291, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970293, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970294, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970303, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970304, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082615, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970295, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970298, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082617, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091226, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091220, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972186, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972192, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979398, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979401, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032993, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033875, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091219, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091218, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28967248, "provider_groups": [ { "npi": [ 1790886216 ], "tin": { "type": "ein", "value": "330472388", "business_name": "NED H CHAMBERS MD INC DBA SHELTER ISLAND MEDICAL GROUP" } }, { "npi": [ 1790886216 ], "tin": { "type": "ein", "value": "330472388", "business_name": "NED H CHAMBERS MD INC DBA SHELTER ISLAND MEDICAL GROUP" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064774, "provider_groups": [ { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29065948, "provider_groups": [ { "npi": [ 1982876645 ], "tin": { "type": "ein", "value": "262284634", "business_name": "MATHEW ISHO MD PC" } }, { "npi": [ 1982876645 ], "tin": { "type": "ein", "value": "262284634", "business_name": "MATHEW ISHO MD PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979417, "provider_groups": [ { "npi": [ 1396986667 ], "tin": { "type": "ein", "value": "264401541", "business_name": "SAN DIEGO WOMENS HEALTH INC" } }, { "npi": [ 1396986667 ], "tin": { "type": "ein", "value": "264401541", "business_name": "SAN DIEGO WOMENS HEALTH INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 30152940, "provider_groups": [ { "npi": [ 1457494361 ], "tin": { "type": "ein", "value": "330735143", "business_name": "SAN DIEGO FERTILITY CENTER MEDICAL GRP" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31823396, "provider_groups": [ { "npi": [ 1457494361 ], "tin": { "type": "ein", "value": "330735143", "business_name": "SAN DIEGO FERTILITY CENTER MEDICAL GRP" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31834764, "provider_groups": [ { "npi": [ 1457494361 ], "tin": { "type": "ein", "value": "330735143", "business_name": "SAN DIEGO FERTILITY CENTER MEDICAL GRP" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31950489, "provider_groups": [ { "npi": [ 1457494361 ], "tin": { "type": "ein", "value": "330735143", "business_name": "SAN DIEGO FERTILITY CENTER MEDICAL GRP" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31962780, "provider_groups": [ { "npi": [ 1457494361 ], "tin": { "type": "ein", "value": "330735143", "business_name": "SAN DIEGO FERTILITY CENTER MEDICAL GRP" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 29082621, "provider_groups": [ { "npi": [ 1831400811 ], "tin": { "type": "ein", "value": "272127905", "business_name": "SUZANNE P HANDLER MD INC" } }, { "npi": [ 1831400811 ], "tin": { "type": "ein", "value": "272127905", "business_name": "SUZANNE P HANDLER MD INC" } }, { "npi": [ 1831400811 ], "tin": { "type": "ein", "value": "272127905", "business_name": "SUZANNE P HANDLER MD INC" } }, { "npi": [ 1831400811 ], "tin": { "type": "ein", "value": "272127905", "business_name": "SUZANNE P HANDLER MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972191, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033878, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033876, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979394, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033877, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957523, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970292, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980137, "provider_groups": [ { "npi": [ 1114282779 ], "tin": { "type": "ein", "value": "455215138", "business_name": "SYNERGY ORTHOPEDIC SPECIALISTS MEDICAL GROUP" } }, { "npi": [ 1114282779 ], "tin": { "type": "ein", "value": "455215138", "business_name": "SYNERGY ORTHOPEDIC SPECIALISTS MEDICAL GROUP" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033874, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033882, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980132, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091224, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28962608, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082613, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082620, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033880, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033879, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033881, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } }, { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064761, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 28970301, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966617, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966619, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } }, { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972190, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033886, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032994, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998393, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051106, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29065947, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29089078, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979415, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091236, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966616, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979423, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28975291, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979418, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051095, "provider_groups": [ { "npi": [ 1497148456 ], "tin": { "type": "ein", "value": "473394746", "business_name": "IHS RADIOLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051099, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998361, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082631, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082630, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082633, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998383, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998368, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998371, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082607, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082629, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082624, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082627, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980131, "provider_groups": [ { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957522, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082616, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970300, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998388, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998370, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082625, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998366, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980134, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980133, "provider_groups": [ { "npi": [ 1538466107 ], "tin": { "type": "ein", "value": "274666463", "business_name": "MARQUE MEDICAL CLINIC INC DBA MARQUE URGENT CARE NEWPORT BEA" } }, { "npi": [ 1538466107 ], "tin": { "type": "ein", "value": "274666463", "business_name": "MARQUE MEDICAL CLINIC INC DBA MARQUE URGENT CARE NEWPORT BEA" } }, { "npi": [ 1538466107 ], "tin": { "type": "ein", "value": "274666463", "business_name": "MARQUE MEDICAL CLINIC INC DBA MARQUE URGENT CARE NEWPORT BEA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966626, "provider_groups": [ { "npi": [ 1932154788 ], "tin": { "type": "ein", "value": "953134847", "business_name": "J ROBERT WEST MD INC DBA WEST DERMATOLOGY AND SURGERY MEDICA" } }, { "npi": [ 1932154788 ], "tin": { "type": "ein", "value": "953134847", "business_name": "J ROBERT WEST MD INC DBA WEST DERMATOLOGY AND SURGERY MEDICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064715, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29033869, "provider_groups": [ { "npi": [ 1629407069 ], "tin": { "type": "ein", "value": "463095174", "business_name": "EXACT SCIENCES LABORATORIES LLC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998381, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082632, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970285, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998369, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970287, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082619, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970286, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082612, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082602, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998373, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998382, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082626, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064716, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 28970284, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970296, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957518, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970290, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033873, "provider_groups": [ { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082601, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082603, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970297, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033872, "provider_groups": [ { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980130, "provider_groups": [ { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1740262880 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082609, "provider_groups": [ { "npi": [ 1104045749 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1104045749 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998374, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } }, { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980135, "provider_groups": [ { "npi": [ 1538466107 ], "tin": { "type": "ein", "value": "274666463", "business_name": "MARQUE MEDICAL CLINIC INC DBA MARQUE URGENT CARE NEWPORT BEA" } }, { "npi": [ 1538466107 ], "tin": { "type": "ein", "value": "274666463", "business_name": "MARQUE MEDICAL CLINIC INC DBA MARQUE URGENT CARE NEWPORT BEA" } }, { "npi": [ 1538466107 ], "tin": { "type": "ein", "value": "274666463", "business_name": "MARQUE MEDICAL CLINIC INC DBA MARQUE URGENT CARE NEWPORT BEA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082604, "provider_groups": [ { "npi": [ 1659352276 ], "tin": { "type": "ein", "value": "840611484", "business_name": "LABORATORY CORPORATION OF AMERICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064717, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29064713, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29082608, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082600, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972193, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979422, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28967249, "provider_groups": [ { "npi": [ 1790886216 ], "tin": { "type": "ein", "value": "330472388", "business_name": "NED H CHAMBERS MD INC DBA SHELTER ISLAND MEDICAL GROUP" } }, { "npi": [ 1790886216 ], "tin": { "type": "ein", "value": "330472388", "business_name": "NED H CHAMBERS MD INC DBA SHELTER ISLAND MEDICAL GROUP" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064734, "provider_groups": [ { "npi": [ 1538297726 ], "tin": { "type": "ein", "value": "870737749", "business_name": "SCRIPPS CLINIC" } }, { "npi": [ 1538297726 ], "tin": { "type": "ein", "value": "870737749", "business_name": "SCRIPPS CLINIC" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29082537, "provider_groups": [ { "npi": [ 1356569834 ], "tin": { "type": "ein", "value": "330613459", "business_name": "NORTH COAST FAMILY MEDICAL GROUP" } }, { "npi": [ 1356569834 ], "tin": { "type": "ein", "value": "330613459", "business_name": "NORTH COAST FAMILY MEDICAL GROUP" } }, { "npi": [ 1356569834 ], "tin": { "type": "ein", "value": "330613459", "business_name": "NORTH COAST FAMILY MEDICAL GROUP" } } ], "network_name": [ "OCN-NORTH COUNTY SD" ] }, { "provider_group_id": 31993858, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302589, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32285128, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31878220, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302536, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31501637, "provider_groups": [ { "npi": [ 1962422709 ], "tin": { "type": "ein", "value": "330303507", "business_name": "PACIFIC EYE INSTITUTE A MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31981748, "provider_groups": [ { "npi": [ 1962422709 ], "tin": { "type": "ein", "value": "330303507", "business_name": "PACIFIC EYE INSTITUTE A MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091233, "provider_groups": [ { "npi": [ 1427059336 ], "tin": { "type": "ein", "value": "952852478", "business_name": "THE EYE INSTITUTE OF CALIFORNIA INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082597, "provider_groups": [ { "npi": [ 1164421400 ], "tin": { "type": "ein", "value": "474250687", "business_name": "ANDREW CU UNJIENG MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32302122, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32332512, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32520147, "provider_groups": [ { "npi": [ 1760541569 ], "tin": { "type": "ein", "value": "205944918", "business_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CA MEDICAL" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31962561, "provider_groups": [ { "npi": [ 1760541569 ], "tin": { "type": "ein", "value": "205944918", "business_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CA MEDICAL" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31962809, "provider_groups": [ { "npi": [ 1760541569 ], "tin": { "type": "ein", "value": "205944918", "business_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CA MEDICAL" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 30602888, "provider_groups": [ { "npi": [ 1760541569 ], "tin": { "type": "ein", "value": "205944918", "business_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CA MEDICAL" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31835045, "provider_groups": [ { "npi": [ 1760541569 ], "tin": { "type": "ein", "value": "205944918", "business_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CA MEDICAL" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31823425, "provider_groups": [ { "npi": [ 1760541569 ], "tin": { "type": "ein", "value": "205944918", "business_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CA MEDICAL" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31667497, "provider_groups": [ { "npi": [ 1760541569 ], "tin": { "type": "ein", "value": "205944918", "business_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CA MEDICAL" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31950760, "provider_groups": [ { "npi": [ 1760541569 ], "tin": { "type": "ein", "value": "205944918", "business_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CA MEDICAL" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 29051101, "provider_groups": [ { "npi": [ 1124089586 ], "tin": { "type": "ein", "value": "330885407", "business_name": "SAN DIEGO RETINA ASSOCIATES" } }, { "npi": [ 1124089586 ], "tin": { "type": "ein", "value": "330885407", "business_name": "SAN DIEGO RETINA ASSOCIATES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082599, "provider_groups": [ { "npi": [ 1164421400 ], "tin": { "type": "ein", "value": "474250687", "business_name": "ANDREW CU UNJIENG MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970305, "provider_groups": [ { "npi": [ 1841377660 ], "tin": { "type": "ein", "value": "330758327", "business_name": "CASTILLEJOS EYE INSTITUTE MEDICAL GROUP" } }, { "npi": [ 1841377660 ], "tin": { "type": "ein", "value": "330758327", "business_name": "CASTILLEJOS EYE INSTITUTE MEDICAL GROUP" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 30186465, "provider_groups": [ { "npi": [ 1164421400 ], "tin": { "type": "ein", "value": "474250687", "business_name": "ANDREW CU UNJIENG MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31980261, "provider_groups": [ { "npi": [ 1164421400 ], "tin": { "type": "ein", "value": "474250687", "business_name": "ANDREW CU UNJIENG MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31909263, "provider_groups": [ { "npi": [ 1518922178 ], "tin": { "type": "ein", "value": "330954031", "business_name": "WARLEN MD MARK EVAN" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31991947, "provider_groups": [ { "npi": [ 1518922178 ], "tin": { "type": "ein", "value": "330954031", "business_name": "WARLEN MD MARK EVAN" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32302001, "provider_groups": [ { "npi": [ 1538297726 ], "tin": { "type": "ein", "value": "870737749", "business_name": "SCRIPPS CLINIC" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31750475, "provider_groups": [ { "npi": [ 1538297726 ], "tin": { "type": "ein", "value": "870737749", "business_name": "SCRIPPS CLINIC" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29307000, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31679900, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31470352, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 30137203, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32222284, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32222758, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29911305, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32221648, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32218593, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32218626, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31991108, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31981610, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 30041310, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29275816, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31981644, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32275899, "provider_groups": [ { "npi": [ 1639128804 ], "tin": { "type": "ein", "value": "522450085", "business_name": "COURIS MD MICHAEL T" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31411178, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 30081804, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32299892, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31630731, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32320633, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 30123261, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300390, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31925786, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302198, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31597744, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302333, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31714556, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32320296, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32320309, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32320620, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32320731, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32320744, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32482422, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 30123266, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300373, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31925796, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29882273, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29959081, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 30259606, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31189761, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31411169, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32298424, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32299917, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300047, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300245, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300300, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300308, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300436, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302105, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302121, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302207, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302280, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302353, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302412, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302432, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302435, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302542, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302552, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302183, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302341, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302465, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302537, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 30145653, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302509, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31597591, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31597752, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29107498, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29107511, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29180714, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29225473, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 30056203, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 30195310, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300062, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29959089, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29416284, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31750479, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31794683, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31878193, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302056, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300419, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31878221, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300414, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32298430, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 30334741, "provider_groups": [ { "npi": [ 1831400811 ], "tin": { "type": "ein", "value": "272127905", "business_name": "SUZANNE P HANDLER MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29502513, "provider_groups": [ { "npi": [ 1831400811 ], "tin": { "type": "ein", "value": "272127905", "business_name": "SUZANNE P HANDLER MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 32219757, "provider_groups": [ { "npi": [ 1831400811 ], "tin": { "type": "ein", "value": "272127905", "business_name": "SUZANNE P HANDLER MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31980952, "provider_groups": [ { "npi": [ 1831400811 ], "tin": { "type": "ein", "value": "272127905", "business_name": "SUZANNE P HANDLER MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033870, "provider_groups": [ { "npi": [ 1518922178 ], "tin": { "type": "ein", "value": "330954031", "business_name": "WARLEN MD MARK EVAN" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28962611, "provider_groups": [ { "npi": [ 1841219482 ], "tin": { "type": "ein", "value": "563596593", "business_name": "MIYA MD GARY Y" } }, { "npi": [ 1841219482 ], "tin": { "type": "ein", "value": "563596593", "business_name": "MIYA MD GARY Y" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064710, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29064718, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 28975290, "provider_groups": [ { "npi": [ 1790828754 ], "tin": { "type": "ein", "value": "307864356", "business_name": "CYRUS TORCHINSKY MD PHD" } }, { "npi": [ 1790828754 ], "tin": { "type": "ein", "value": "307864356", "business_name": "CYRUS TORCHINSKY MD PHD" } }, { "npi": [ 1790828754 ], "tin": { "type": "ein", "value": "307864356", "business_name": "CYRUS TORCHINSKY MD PHD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29065952, "provider_groups": [ { "npi": [ 1760626477 ], "tin": { "type": "ein", "value": "263041571", "business_name": "HASSAN KAFRI MD INC" } }, { "npi": [ 1760626477 ], "tin": { "type": "ein", "value": "263041571", "business_name": "HASSAN KAFRI MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082606, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } }, { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957530, "provider_groups": [ { "npi": [ 1508170564 ], "tin": { "type": "ein", "value": "330816140", "business_name": "EMILY DYSON SCOTT MD F A C C INC" } }, { "npi": [ 1508170564 ], "tin": { "type": "ein", "value": "330816140", "business_name": "EMILY DYSON SCOTT MD F A C C INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29065946, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } }, { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091238, "provider_groups": [ { "npi": [ 1851368161 ], "tin": { "type": "ein", "value": "330254680", "business_name": "SOUTHERN CALIFORNIA HEALTH PROVIDERS MEDICAL GRP INC" } }, { "npi": [ 1851368161 ], "tin": { "type": "ein", "value": "330254680", "business_name": "SOUTHERN CALIFORNIA HEALTH PROVIDERS MEDICAL GRP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082598, "provider_groups": [ { "npi": [ 1881789196 ], "tin": { "type": "ein", "value": "473502779", "business_name": "RICHARD G FRIEDMAN MD" } }, { "npi": [ 1881789196 ], "tin": { "type": "ein", "value": "473502779", "business_name": "RICHARD G FRIEDMAN MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979406, "provider_groups": [ { "npi": [ 1912003252 ], "tin": { "type": "ein", "value": "330882311", "business_name": "HILLCREST INTERNAL MEDICINE A MEDICAL CORPORATION" } }, { "npi": [ 1912003252 ], "tin": { "type": "ein", "value": "330882311", "business_name": "HILLCREST INTERNAL MEDICINE A MEDICAL CORPORATION" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064760, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29091222, "provider_groups": [ { "npi": [ 1780021782 ], "tin": { "type": "ein", "value": "900950252", "business_name": "CHULA VISTA EMERGENCY ROOM PHYSICIANS A MEDICAL CORPORATION" } }, { "npi": [ 1780021782 ], "tin": { "type": "ein", "value": "900950252", "business_name": "CHULA VISTA EMERGENCY ROOM PHYSICIANS A MEDICAL CORPORATION" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966625, "provider_groups": [ { "npi": [ 1528164753 ], "tin": { "type": "ein", "value": "561151052", "business_name": "WILLIAMS MD JEFFREY KENT" } }, { "npi": [ 1528164753 ], "tin": { "type": "ein", "value": "561151052", "business_name": "WILLIAMS MD JEFFREY KENT" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966620, "provider_groups": [ { "npi": [ 1013269539 ], "tin": { "type": "ein", "value": "452041810", "business_name": "ALLERGY PARTNERS OF CALIFORNIA INC DBA ALLERGY PARTNERS OF C" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29089074, "provider_groups": [ { "npi": [ 1508527797 ], "tin": { "type": "ein", "value": "874137863", "business_name": "BRIAN MODENA DBA MODENA ALLERGY ASTHMA INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051105, "provider_groups": [ { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } }, { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957520, "provider_groups": [ { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } }, { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980136, "provider_groups": [ { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } }, { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064773, "provider_groups": [ { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } }, { "npi": [ 1427268747 ], "tin": { "type": "ein", "value": "953661170", "business_name": "LA MESA PEDIATRIC MEDICAL GROUP" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29033871, "provider_groups": [ { "npi": [ 1053670596 ], "tin": { "type": "ein", "value": "330924558", "business_name": "ROBERT A HOUGHTON MD INC" } }, { "npi": [ 1053670596 ], "tin": { "type": "ein", "value": "330924558", "business_name": "ROBERT A HOUGHTON MD INC" } }, { "npi": [ 1053670596 ], "tin": { "type": "ein", "value": "330924558", "business_name": "ROBERT A HOUGHTON MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29089080, "provider_groups": [ { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051107, "provider_groups": [ { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032997, "provider_groups": [ { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966622, "provider_groups": [ { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979419, "provider_groups": [ { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970306, "provider_groups": [ { "npi": [ 1134166838 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1134166838 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1134166838 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1134166838 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28960249, "provider_groups": [ { "npi": [ 1134166838 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1134166838 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1134166838 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1134166838 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032996, "provider_groups": [ { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957528, "provider_groups": [ { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957529, "provider_groups": [ { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1699712315 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032999, "provider_groups": [ { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29065949, "provider_groups": [ { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082636, "provider_groups": [ { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1932659570 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082635, "provider_groups": [ { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1972229805 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998277, "provider_groups": [ { "npi": [ 1861451445 ], "tin": { "type": "ein", "value": "952843281", "business_name": "TRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC" } } ], "network_name": [ "OCN-NORTH COUNTY SD" ] }, { "provider_group_id": 29082531, "provider_groups": [ { "npi": [ 1861451445 ], "tin": { "type": "ein", "value": "952843281", "business_name": "TRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC" } } ], "network_name": [ "OCN-NORTH COUNTY SD" ] }, { "provider_group_id": 29082530, "provider_groups": [ { "npi": [ 1861451445 ], "tin": { "type": "ein", "value": "952843281", "business_name": "TRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC" } } ], "network_name": [ "OCN-NORTH COUNTY SD" ] }, { "provider_group_id": 28998378, "provider_groups": [ { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } }, { "npi": [ 1861439580 ], "tin": { "type": "ein", "value": "953579976", "business_name": "EGGLETON LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064721, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } }, { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31714535, "provider_groups": [ { "npi": [ 1366479099 ], "tin": { "type": "ein", "value": "710897031", "business_name": "QUEST DIAGNOSTICS DBA UNILAB CORPORATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 28998391, "provider_groups": [ { "npi": [ 1841219482 ], "tin": { "type": "ein", "value": "563596593", "business_name": "MIYA MD GARY Y" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29065950, "provider_groups": [ { "npi": [ 1316136740 ], "tin": { "type": "ein", "value": "261267238", "business_name": "DERMATOLOGY PROFESSIONALS INC DBA INSIGHT DERMATOLOGY" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979413, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082628, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064733, "provider_groups": [ { "npi": [ 1538297726 ], "tin": { "type": "ein", "value": "870737749", "business_name": "SCRIPPS CLINIC" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29064735, "provider_groups": [ { "npi": [ 1538297726 ], "tin": { "type": "ein", "value": "870737749", "business_name": "SCRIPPS CLINIC" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 28979399, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966618, "provider_groups": [ { "npi": [ 1578621199 ], "tin": { "type": "ein", "value": "953142358", "business_name": "SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998394, "provider_groups": [ { "npi": [ 1629046925 ], "tin": { "type": "ein", "value": "330590652", "business_name": "MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO A MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091221, "provider_groups": [ { "npi": [ 1811340227 ], "tin": { "type": "ein", "value": "812688234", "business_name": "SUDHIR MALIK MD" } }, { "npi": [ 1811340227 ], "tin": { "type": "ein", "value": "812688234", "business_name": "SUDHIR MALIK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082610, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28967254, "provider_groups": [ { "npi": [ 1578959185 ], "tin": { "type": "ein", "value": "472601839", "business_name": "MARK C ADRIAN" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091239, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29089075, "provider_groups": [ { "npi": [ 1508527797 ], "tin": { "type": "ein", "value": "874137863", "business_name": "BRIAN MODENA DBA MODENA ALLERGY ASTHMA INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051096, "provider_groups": [ { "npi": [ 1538466107 ], "tin": { "type": "ein", "value": "274666463", "business_name": "MARQUE MEDICAL CLINIC INC DBA MARQUE URGENT CARE NEWPORT BEA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28962610, "provider_groups": [ { "npi": [ 1801985791 ], "tin": { "type": "ein", "value": "205681915", "business_name": "SAN DIEGO COASTAL ENDOCRINOLOGY GROUP AMC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064752, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29051093, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082634, "provider_groups": [ { "npi": [ 1881709673 ], "tin": { "type": "ein", "value": "952628990", "business_name": "NEUROSURGICAL MEDICAL CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979405, "provider_groups": [ { "npi": [ 1578621199 ], "tin": { "type": "ein", "value": "953142358", "business_name": "SAN DIEGO GASTROENTEROLOGY MEDICAL ASSOCIATES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980139, "provider_groups": [ { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091237, "provider_groups": [ { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966624, "provider_groups": [ { "npi": [ 1033239256 ], "tin": { "type": "ein", "value": "953510726", "business_name": "JEFFREY A SANDLER MD APC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972197, "provider_groups": [ { "npi": [ 1033239256 ], "tin": { "type": "ein", "value": "953510726", "business_name": "JEFFREY A SANDLER MD APC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28960248, "provider_groups": [ { "npi": [ 1316136740 ], "tin": { "type": "ein", "value": "261267238", "business_name": "DERMATOLOGY PROFESSIONALS INC DBA INSIGHT DERMATOLOGY" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28975292, "provider_groups": [ { "npi": [ 1316136740 ], "tin": { "type": "ein", "value": "261267238", "business_name": "DERMATOLOGY PROFESSIONALS INC DBA INSIGHT DERMATOLOGY" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28980138, "provider_groups": [ { "npi": [ 1316136740 ], "tin": { "type": "ein", "value": "261267238", "business_name": "DERMATOLOGY PROFESSIONALS INC DBA INSIGHT DERMATOLOGY" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970307, "provider_groups": [ { "npi": [ 1932154788 ], "tin": { "type": "ein", "value": "953134847", "business_name": "J ROBERT WEST MD INC DBA WEST DERMATOLOGY AND SURGERY MEDICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979421, "provider_groups": [ { "npi": [ 1932154788 ], "tin": { "type": "ein", "value": "953134847", "business_name": "J ROBERT WEST MD INC DBA WEST DERMATOLOGY AND SURGERY MEDICA" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979414, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979410, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091223, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957527, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091230, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979416, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091231, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091235, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957525, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091228, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972187, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998390, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051104, "provider_groups": [ { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091229, "provider_groups": [ { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051103, "provider_groups": [ { "npi": [ 1427076009 ], "tin": { "type": "ein", "value": "330678374", "business_name": "MEDICUS MD INC DBA BARBARA DENYSIAK MD" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051102, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28998358, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28967253, "provider_groups": [ { "npi": [ 1851368161 ], "tin": { "type": "ein", "value": "330254680", "business_name": "SOUTHERN CALIFORNIA HEALTH PROVIDERS MEDICAL GRP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979403, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082614, "provider_groups": [ { "npi": [ 1700202207 ], "tin": { "type": "ein", "value": "455263203", "business_name": "PUJA CHITKARA MD A MED CORP" } }, { "npi": [ 1700202207 ], "tin": { "type": "ein", "value": "455263203", "business_name": "PUJA CHITKARA MD A MED CORP" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064719, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29033885, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064714, "provider_groups": [ { "npi": [ 1184788291 ], "tin": { "type": "ein", "value": "330662258", "business_name": "CPCMG" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31905082, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31991662, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31991929, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31837159, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 30056174, "provider_groups": [ { "npi": [ 1366427734 ], "tin": { "type": "ein", "value": "330682021", "business_name": "PARADISE FAMILY HEALTH CENTER MEDICAL GR" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32299559, "provider_groups": [ { "npi": [ 1366427734 ], "tin": { "type": "ein", "value": "330682021", "business_name": "PARADISE FAMILY HEALTH CENTER MEDICAL GR" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31218275, "provider_groups": [ { "npi": [ 1851368161 ], "tin": { "type": "ein", "value": "330254680", "business_name": "SOUTHERN CALIFORNIA HEALTH PROVIDERS MED GRP INC" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31835046, "provider_groups": [ { "npi": [ 1851368161 ], "tin": { "type": "ein", "value": "330254680", "business_name": "SOUTHERN CALIFORNIA HEALTH PROVIDERS MED GRP INC" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 31950761, "provider_groups": [ { "npi": [ 1851368161 ], "tin": { "type": "ein", "value": "330254680", "business_name": "SOUTHERN CALIFORNIA HEALTH PROVIDERS MED GRP INC" } } ], "network_name": [ "OPTUM CARE NETWORK - SDPMG" ] }, { "provider_group_id": 29033884, "provider_groups": [ { "npi": [ 1841342243 ], "tin": { "type": "ein", "value": "205823403", "business_name": "CLARA LUCY POLACK DBA CLARA LUCY POLAK MD INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032991, "provider_groups": [ { "npi": [ 1033289574 ], "tin": { "type": "ein", "value": "952812181", "business_name": "SOUTH BAY SKIN AND CANCER MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970308, "provider_groups": [ { "npi": [ 1225663826 ], "tin": { "type": "ein", "value": "842566334", "business_name": "UPPERLINE HEALTHCARE CALIFORNIA PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29065945, "provider_groups": [ { "npi": [ 1245290899 ], "tin": { "type": "ein", "value": "952666087", "business_name": "CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC" } }, { "npi": [ 1245290899 ], "tin": { "type": "ein", "value": "952666087", "business_name": "CALIFORNIA ORTHOPAEDIC INSTITUTE MEDICAL ASSOCIATES INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051100, "provider_groups": [ { "npi": [ 1275651515 ], "tin": { "type": "ein", "value": "208366709", "business_name": "THE ONCOLOGY INSTITUTE CA A PROF CORP DBA THE ONCOLOGY INSTI" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28966623, "provider_groups": [ { "npi": [ 1316997505 ], "tin": { "type": "ein", "value": "952848091", "business_name": "BALBOA NEPHROLOGY MEDICAL GROUP INC" } }, { "npi": [ 1316997505 ], "tin": { "type": "ein", "value": "952848091", "business_name": "BALBOA NEPHROLOGY MEDICAL GROUP INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28967256, "provider_groups": [ { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } }, { "npi": [ 1548567498 ], "tin": { "type": "ein", "value": "274002793", "business_name": "GENESIS HEALTHCARE PARTNERS PC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28975289, "provider_groups": [ { "npi": [ 1619502572 ], "tin": { "type": "ein", "value": "843408070", "business_name": "PACIFIC ENDOCRINOLOGY" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28939067, "provider_groups": [ { "npi": [ 1700190642 ], "tin": { "type": "ein", "value": "330622961", "business_name": "JEFFRY A MULLVAIN MD FACC INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28967255, "provider_groups": [ { "npi": [ 1023103967 ], "tin": { "type": "ein", "value": "200720795", "business_name": "LETICIA UWEDJOJEVWE MD MED CORPORATION" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032995, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29032992, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972189, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979395, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979402, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979408, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979412, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972185, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979396, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082605, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979407, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957526, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957519, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28957524, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091234, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091227, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091232, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033887, "provider_groups": [ { "npi": [ 1679160931 ], "tin": { "type": "ein", "value": "912169315", "business_name": "CULTURE OF LIFE FAMILY SERVICES" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979397, "provider_groups": [ { "npi": [ 1831490184 ], "tin": { "type": "ein", "value": "273649164", "business_name": "GATEWAY COMPREHENSIVE MEDICAL GROUP" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29033883, "provider_groups": [ { "npi": [ 1912003252 ], "tin": { "type": "ein", "value": "330882311", "business_name": "HILLCREST INTERNAL MEDICINE A MEDICAL CORPORATION" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28939065, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29089076, "provider_groups": [ { "npi": [ 1689297277 ], "tin": { "type": "ein", "value": "851071911", "business_name": "SUNSET ENT INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979409, "provider_groups": [ { "npi": [ 1013269539 ], "tin": { "type": "ein", "value": "452041810", "business_name": "ALLERGY PARTNERS OF CALIFORNIA INC DBA ALLERGY PARTNERS OF C" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28962609, "provider_groups": [ { "npi": [ 1013269539 ], "tin": { "type": "ein", "value": "452041810", "business_name": "ALLERGY PARTNERS OF CALIFORNIA INC DBA ALLERGY PARTNERS OF C" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28970302, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS HOSPITAL SAN DIEGO" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064757, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29064758, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 28967252, "provider_groups": [ { "npi": [ 1114282779 ], "tin": { "type": "ein", "value": "455215138", "business_name": "SYNERGY ORTHOPEDIC SPECIALISTS MEDICAL GROUP" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051097, "provider_groups": [ { "npi": [ 1528164753 ], "tin": { "type": "ein", "value": "561151052", "business_name": "WILLIAMS MD JEFFREY KENT" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29091225, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979400, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29082637, "provider_groups": [ { "npi": [ 1225357833 ], "tin": { "type": "ein", "value": "330962248", "business_name": "GARY L MATSON D O INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28967250, "provider_groups": [ { "npi": [ 1083887921 ], "tin": { "type": "ein", "value": "330692671", "business_name": "ALISA L WILLIAMS MD FACOG INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28979404, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 28972188, "provider_groups": [ { "npi": [ 1134309305 ], "tin": { "type": "ein", "value": "202138632", "business_name": "MONICA PERLMAN MD INC DBA PERLMAN CLINIC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 31750481, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302312, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32300310, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32207380, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302602, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302284, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31189752, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302174, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302360, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302462, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31794680, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29959091, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } }, { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 32302437, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31597599, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31597723, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 31630738, "provider_groups": [ { "npi": [ 1669617197 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS SPEC MED FOUNDATION" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 28957531, "provider_groups": [ { "npi": [ 1134107675 ], "tin": { "type": "ein", "value": "330057155", "business_name": "APRIA HEALTHCARE LLC" } }, { "npi": [ 1134107675 ], "tin": { "type": "ein", "value": "330057155", "business_name": "APRIA HEALTHCARE LLC" } }, { "npi": [ 1134107675 ], "tin": { "type": "ein", "value": "330057155", "business_name": "APRIA HEALTHCARE LLC" } }, { "npi": [ 1134107675 ], "tin": { "type": "ein", "value": "330057155", "business_name": "APRIA HEALTHCARE LLC" } }, { "npi": [ 1134107675 ], "tin": { "type": "ein", "value": "330057155", "business_name": "APRIA HEALTHCARE LLC" } }, { "npi": [ 1134107675 ], "tin": { "type": "ein", "value": "330057155", "business_name": "APRIA HEALTHCARE LLC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29051098, "provider_groups": [ { "npi": [ 1528152105 ], "tin": { "type": "ein", "value": "952585978", "business_name": "INTERNAL MEDICINE ASSOCIATES MEDICAL GROUP OF SAN DIEGO INC" } }, { "npi": [ 1528152105 ], "tin": { "type": "ein", "value": "952585978", "business_name": "INTERNAL MEDICINE ASSOCIATES MEDICAL GROUP OF SAN DIEGO INC" } }, { "npi": [ 1528152105 ], "tin": { "type": "ein", "value": "952585978", "business_name": "INTERNAL MEDICINE ASSOCIATES MEDICAL GROUP OF SAN DIEGO INC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29065951, "provider_groups": [ { "npi": [ 1134107675 ], "tin": { "type": "ein", "value": "330057155", "business_name": "APRIA HEALTHCARE LLC" } } ], "network_name": [ "MERCY PHYSICIANS MEDICAL GROUP" ] }, { "provider_group_id": 29064810, "provider_groups": [ { "npi": [ 1710065933 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS HOSP & HEALTH CTR -" } }, { "npi": [ 1710065933 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS HOSP & HEALTH CTR -" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29064800, "provider_groups": [ { "npi": [ 1710065933 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS HOSPITAL SAN DIEGO" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29064791, "provider_groups": [ { "npi": [ 1710065933 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS HOSPITAL SAN DIEGO" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29064799, "provider_groups": [ { "npi": [ 1710065933 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS HOSPITAL SAN DIEGO" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] }, { "provider_group_id": 29064798, "provider_groups": [ { "npi": [ 1710065933 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS HOSPITAL SAN DIEGO" } }, { "npi": [ 1710065933 ], "tin": { "type": "ein", "value": "951691313", "business_name": "RADY CHILDRENS HOSPITAL SAN DIEGO" } } ], "network_name": [ "RADY CHILDREN'S HEALTH NETWORK" ] } ], "in_network": [ { "negotiation_arrangement": "ffs", "name": "PR TRIM HYPERKERATOTIC SKIN LESION, ONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "11055", "description": "TRIM HYPERKERATOTIC SKIN LESION, ONE", "negotiated_rates": [ { "provider_references": [ 29089079 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 78.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EXC SKIN BENIG 1.1-2 CM TRUNK,ARM,LEG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "11402", "description": "EXC SKIN BENIG 1.1-2 CM TRUNK,ARM,LEG", "negotiated_rates": [ { "provider_references": [ 29051108 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 187.54, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28939066 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998385 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 29032998 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998360 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998359 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998362 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998376 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998377 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998364 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998365 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998386 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1159F", "description": "MEDICATION LIST DOCUMENTED IN MEDICAL RECORD", "negotiated_rates": [ { "provider_references": [ 28998392 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28939066 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998385 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998359 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998360 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 29032998 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998386 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998392 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998376 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998362 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998364 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "1160F", "description": "REVIEW ALL MEDS BY PRESCRIBER/CLIN PHARMACIST DOCUMENTED", "negotiated_rates": [ { "provider_references": [ 28998365 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR DEBRIDEMENT OF NAILS, 6 OR MORE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "11721", "description": "DEBRIDEMENT OF NAILS, 6 OR MORE", "negotiated_rates": [ { "provider_references": [ 29091240 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 48.36, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "Q9" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REMOVAL OF NAIL PLATE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "11730", "description": "REMOVAL OF NAIL PLATE", "negotiated_rates": [ { "provider_references": [ 29089081 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 124.62, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "T5" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INJECTION INTO SKIN LESIONS, UP TO 7", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "11900", "description": "INJECTION INTO SKIN LESIONS, UP TO 7", "negotiated_rates": [ { "provider_references": [ 28979411 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 37.48, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "58", "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INSERTION DRUG DELIVERY IMPLANT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "11981", "description": "INSERTION DRUG DELIVERY IMPLANT", "negotiated_rates": [ { "provider_references": [ 29064759 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 223.58, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "12032", "description": "LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM", "negotiated_rates": [ { "provider_references": [ 29051108 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 331.1, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR DESTRUC BENIGN/PREMAL,FIRST LESION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "17000", "description": "DESTRUC BENIGN/PREMAL,FIRST LESION", "negotiated_rates": [ { "provider_references": [ 28979420 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 74.76, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "20611", "description": "ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US", "negotiated_rates": [ { "provider_references": [ 29032990 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 117.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "50" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT HEMOGLOBIN A1C LEVEL <7.0%", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3044F", "description": "MOST RECENT HEMOGLOBIN A1C LEVEL <7.0%", "negotiated_rates": [ { "provider_references": [ 28980140 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28980140 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28966621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28967251 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28998392 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28998365 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28998376 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28998377 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28998385 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 29032998 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3074F", "description": "MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG", "negotiated_rates": [ { "provider_references": [ 28998360 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3075F", "description": "MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG", "negotiated_rates": [ { "provider_references": [ 28998359 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3075F", "description": "MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG", "negotiated_rates": [ { "provider_references": [ 28998362 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3075F", "description": "MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG", "negotiated_rates": [ { "provider_references": [ 28998364 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 28980140 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 28966621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 28967251 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 28998385 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 29032998 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 28998360 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 28998392 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 28998365 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3078F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG", "negotiated_rates": [ { "provider_references": [ 28998376 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3079F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG", "negotiated_rates": [ { "provider_references": [ 28998364 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3079F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG", "negotiated_rates": [ { "provider_references": [ 28998377 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3079F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG", "negotiated_rates": [ { "provider_references": [ 28998362 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "3079F", "description": "MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG", "negotiated_rates": [ { "provider_references": [ 28998359 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.01, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NASAL ENDOSCOPY,DX", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "31231", "description": "NASAL ENDOSCOPY,DX", "negotiated_rates": [ { "provider_references": [ 29051094 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 420.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998375 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998372 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970299 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29082611 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29082618 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29082622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28957521 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998387 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998363 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998367 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998379 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28998380 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970288 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970291 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970293 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970294 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970304 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970295 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28970298 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29091226 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29091220 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28972186 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28972192 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28979398 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28979401 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29032993 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28966621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29033875 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29091219 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 29091218 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36415", "description": "COLLECTION VENOUS BLOOD,VENIPUNCTURE", "negotiated_rates": [ { "provider_references": [ 28967248 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 20.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COLLECTION CAPILLARY BLOOD SPECIMEN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "36416", "description": "COLLECTION CAPILLARY BLOOD SPECIMEN", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "46600", "description": "ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD", "negotiated_rates": [ { "provider_references": [ 29065948 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 127.64, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REMOVE INTRAUTERINE DEVICE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "58301", "description": "REMOVE INTRAUTERINE DEVICE", "negotiated_rates": [ { "provider_references": [ 28979417 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 48.94, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "58970", "description": "FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "negotiated_rates": [ { "provider_references": [ 30152940 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "24" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "58970", "description": "FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "negotiated_rates": [ { "provider_references": [ 31823396 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "24" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "58970", "description": "FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "negotiated_rates": [ { "provider_references": [ 31834764 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "24" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "58970", "description": "FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "negotiated_rates": [ { "provider_references": [ 31950489 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "24" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "58970", "description": "FOLLICLE PUNC,RETRIEVAL OF OOCYTE", "negotiated_rates": [ { "provider_references": [ 31962780 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "24" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CLOSE TEAR DUCT OPENING BY PLUG,EA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "68761", "description": "CLOSE TEAR DUCT OPENING BY PLUG,EA", "negotiated_rates": [ { "provider_references": [ 29082621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 156.44, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "E2" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CLOSE TEAR DUCT OPENING BY PLUG,EA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "68761", "description": "CLOSE TEAR DUCT OPENING BY PLUG,EA", "negotiated_rates": [ { "provider_references": [ 29082621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 156.44, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "E4" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "69209", "description": "REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT", "negotiated_rates": [ { "provider_references": [ 28972191 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.91, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG MRI, FACE, NECK, COMBO", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "70543", "description": "MRI, FACE, NECK, COMBO", "negotiated_rates": [ { "provider_references": [ 29033878 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3026.64, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG RADIOLOGIC EXAM CHEST 2 VIEWS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "71046", "description": "RADIOLOGIC EXAM CHEST 2 VIEWS", "negotiated_rates": [ { "provider_references": [ 29033876 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 65.55, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CT THORAX DX C-", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "71250", "description": "CT THORAX DX C-", "negotiated_rates": [ { "provider_references": [ 28979394 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 920.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG MR ANGIO CHEST (MRA)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "71555", "description": "MR ANGIO CHEST (MRA)", "negotiated_rates": [ { "provider_references": [ 29033877 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 1418.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG MRI, PELVIS, W/O CONTRAST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "72195", "description": "MRI, PELVIS, W/O CONTRAST", "negotiated_rates": [ { "provider_references": [ 28957523 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 1362.88, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG X-RAY SHOULDER 2+ VW", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "73030", "description": "X-RAY SHOULDER 2+ VW", "negotiated_rates": [ { "provider_references": [ 28970292 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 93.92, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "LT" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG X-RAY HAND 3+ VW", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "73130", "description": "X-RAY HAND 3+ VW", "negotiated_rates": [ { "provider_references": [ 28980137 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 64.07, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG MRI, JOINT UPPER EXTREM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "73221", "description": "MRI, JOINT UPPER EXTREM", "negotiated_rates": [ { "provider_references": [ 29033874 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 1255.45, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "50" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG X-RAY KNEE 1 OR 2 VIEW", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "73560", "description": "X-RAY KNEE 1 OR 2 VIEW", "negotiated_rates": [ { "provider_references": [ 29033882 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 68.72, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "LT" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG X-RAY TIB + FIB, 2VW", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "73590", "description": "X-RAY TIB + FIB, 2VW", "negotiated_rates": [ { "provider_references": [ 29033882 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 61.93, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "LT" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG MRI, ABDOMEN, COMBO", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "74183", "description": "MRI, ABDOMEN, COMBO", "negotiated_rates": [ { "provider_references": [ 28980132 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3420.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG US, HEAD/NECK TISSUES,REAL TIME", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76536", "description": "US, HEAD/NECK TISSUES,REAL TIME", "negotiated_rates": [ { "provider_references": [ 29091224 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 271.59, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG US, ABDOMEN LIMITED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76705", "description": "US, ABDOMEN LIMITED", "negotiated_rates": [ { "provider_references": [ 28962608 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 245.75, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG US, ABDOMEN LIMITED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76705", "description": "US, ABDOMEN LIMITED", "negotiated_rates": [ { "provider_references": [ 29082613 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 245.75, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG US, ABDOMEN LIMITED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76705", "description": "US, ABDOMEN LIMITED", "negotiated_rates": [ { "provider_references": [ 29082620 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 245.75, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TRANSVAGINAL US NON-OB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76830", "description": "TRANSVAGINAL US NON-OB", "negotiated_rates": [ { "provider_references": [ 29033880 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 285.65, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TRANSVAGINAL US NON-OB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76830", "description": "TRANSVAGINAL US NON-OB", "negotiated_rates": [ { "provider_references": [ 29033879 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 285.65, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TRANSVAGINAL US NON-OB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76830", "description": "TRANSVAGINAL US NON-OB", "negotiated_rates": [ { "provider_references": [ 29033881 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 285.65, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR US EXAM PELVIC COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76856", "description": "US EXAM PELVIC COMPLETE", "negotiated_rates": [ { "provider_references": [ 29033880 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 283.67, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR US EXAM PELVIC COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76856", "description": "US EXAM PELVIC COMPLETE", "negotiated_rates": [ { "provider_references": [ 29033879 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 283.67, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR US EXAM PELVIC COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76856", "description": "US EXAM PELVIC COMPLETE", "negotiated_rates": [ { "provider_references": [ 29033881 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 283.67, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG US LMTD JOINT/OR FOCAL EVAL/OTH NONVASC XTR STRUX R-T W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76882", "description": "CHG US LMTD JOINT/OR FOCAL EVAL/OTH NONVASC XTR STRUX R-T W/IMG", "negotiated_rates": [ { "provider_references": [ 29032990 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 25.29, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG US LMTD JOINT/OR FOCAL EVAL/OTH NONVASC XTR STRUX R-T W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "76882", "description": "CHG US LMTD JOINT/OR FOCAL EVAL/OTH NONVASC XTR STRUX R-T W/IMG", "negotiated_rates": [ { "provider_references": [ 29064761 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 110.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28970301 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28966617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28966619 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28966619 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28972190 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 29033886 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 29032994 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28998393 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 29051106 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 29065947 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 29089078 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28979415 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 29091236 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28966616 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28979423 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28975291 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77014", "description": "CT GUIDANCE PLACEMENT RAD THERAPY FIELDS", "negotiated_rates": [ { "provider_references": [ 28979418 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77080", "description": "DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON", "negotiated_rates": [ { "provider_references": [ 29051095 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 371.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG RADIATION,MANGEMENT,5 TX'S", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77427", "description": "RADIATION,MANGEMENT,5 TX'S", "negotiated_rates": [ { "provider_references": [ 29051099 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 624.19, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG RADIATION,MANGEMENT,5 TX'S", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "77427", "description": "RADIATION,MANGEMENT,5 TX'S", "negotiated_rates": [ { "provider_references": [ 28998361 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 624.19, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG BASIC METABOLIC PANEL CALCIUM TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80048", "description": "BASIC METABOLIC PANEL CALCIUM TOTAL", "negotiated_rates": [ { "provider_references": [ 28970293 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.29, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG BASIC METABOLIC PANEL CALCIUM TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80048", "description": "BASIC METABOLIC PANEL CALCIUM TOTAL", "negotiated_rates": [ { "provider_references": [ 29091218 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28970299 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082631 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28998372 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082630 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28970295 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082633 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28970288 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28970291 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28998383 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28998379 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28998368 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28998371 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082611 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082629 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082624 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28998375 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.35, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 29033875 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.56, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG METABOLIC PANEL,COMPREHENSIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80053", "description": "METABOLIC PANEL,COMPREHENSIVE", "negotiated_rates": [ { "provider_references": [ 28980131 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.56, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28970299 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082633 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28970295 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082630 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082631 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28998383 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28998368 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28970291 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28970293 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28998375 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082629 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082611 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29091219 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 29033875 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "provider_references": [ 28980131 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG RENAL FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80069", "description": "RENAL FUNCTION PANEL", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.51, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEPATIC FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80076", "description": "HEPATIC FUNCTION PANEL", "negotiated_rates": [ { "provider_references": [ 28970293 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEPATIC FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80076", "description": "HEPATIC FUNCTION PANEL", "negotiated_rates": [ { "provider_references": [ 28957522 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEPATIC FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80076", "description": "HEPATIC FUNCTION PANEL", "negotiated_rates": [ { "provider_references": [ 29082616 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEPATIC FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80076", "description": "HEPATIC FUNCTION PANEL", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TACROLIMUS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "80197", "description": "ASSAY OF TACROLIMUS", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 28970300 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 28998388 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 28998370 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 29082625 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 28998366 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 28970299 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.11, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81001", "description": "URINALYSIS, AUTO, W/SCOPE", "negotiated_rates": [ { "provider_references": [ 28980134 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.17, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS NONAUTO W/O SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81002", "description": "URINALYSIS NONAUTO W/O SCOPE", "negotiated_rates": [ { "provider_references": [ 28972192 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.48, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/O SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81003", "description": "URINALYSIS, AUTO, W/O SCOPE", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2.21, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/O SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81003", "description": "URINALYSIS, AUTO, W/O SCOPE", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2.21, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/O SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81003", "description": "URINALYSIS, AUTO, W/O SCOPE", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2.21, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINALYSIS, AUTO, W/O SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81003", "description": "URINALYSIS, AUTO, W/O SCOPE", "negotiated_rates": [ { "provider_references": [ 28980133 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 42.75, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "QW" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE PREGNANCY TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81025", "description": "URINE PREGNANCY TEST", "negotiated_rates": [ { "provider_references": [ 28966626 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.61, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE PREGNANCY TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81025", "description": "URINE PREGNANCY TEST", "negotiated_rates": [ { "provider_references": [ 29064759 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.39, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE PREGNANCY TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81025", "description": "URINE PREGNANCY TEST", "negotiated_rates": [ { "provider_references": [ 29064715 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 21.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE PREGNANCY TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81025", "description": "URINE PREGNANCY TEST", "negotiated_rates": [ { "provider_references": [ 28980133 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 51.39, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "81528", "description": "ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS", "negotiated_rates": [ { "provider_references": [ 29033869 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 172.13, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF ACTH", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82024", "description": "ASSAY OF ACTH", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 37.85, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF ACTH", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82024", "description": "ASSAY OF ACTH", "negotiated_rates": [ { "provider_references": [ 28998367 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 37.85, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE ALBUMIN QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82043", "description": "URINE ALBUMIN QUANTITATIVE", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.66, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE ALBUMIN QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82043", "description": "URINE ALBUMIN QUANTITATIVE", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.66, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE ALBUMIN QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82043", "description": "URINE ALBUMIN QUANTITATIVE", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.66, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE ALBUMIN QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82043", "description": "URINE ALBUMIN QUANTITATIVE", "negotiated_rates": [ { "provider_references": [ 28998375 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.66, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE ALBUMIN QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82043", "description": "URINE ALBUMIN QUANTITATIVE", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.66, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE ALBUMIN QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82043", "description": "URINE ALBUMIN QUANTITATIVE", "negotiated_rates": [ { "provider_references": [ 29082622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.66, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE ALBUMIN QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82043", "description": "URINE ALBUMIN QUANTITATIVE", "negotiated_rates": [ { "provider_references": [ 29082632 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.66, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82274", "description": "BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT", "negotiated_rates": [ { "provider_references": [ 28970285 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.6, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 28998383 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 28970295 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 28970299 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.01, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82306", "description": "ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 29033875 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.6, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TOTAL CORTISOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82533", "description": "TOTAL CORTISOL", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.97, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TOTAL CORTISOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82533", "description": "TOTAL CORTISOL", "negotiated_rates": [ { "provider_references": [ 28998367 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.97, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TOTAL CORTISOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82533", "description": "TOTAL CORTISOL", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.97, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82565", "description": "ASSAY OF CREATININE", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82565", "description": "ASSAY OF CREATININE", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF URINE CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82570", "description": "ASSAY OF URINE CREATININE", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF URINE CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82570", "description": "ASSAY OF URINE CREATININE", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF URINE CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82570", "description": "ASSAY OF URINE CREATININE", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF URINE CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82570", "description": "ASSAY OF URINE CREATININE", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF URINE CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82570", "description": "ASSAY OF URINE CREATININE", "negotiated_rates": [ { "provider_references": [ 29082622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF URINE CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82570", "description": "ASSAY OF URINE CREATININE", "negotiated_rates": [ { "provider_references": [ 28998375 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG VITAMIN B-12", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82607", "description": "VITAMIN B-12", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.78, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG VITAMIN B-12", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82607", "description": "VITAMIN B-12", "negotiated_rates": [ { "provider_references": [ 28998369 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.78, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DEHYDROEPIANDROSTERONE-SULFATE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82627", "description": "DEHYDROEPIANDROSTERONE-SULFATE", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 21.79, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82652", "description": "ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED", "negotiated_rates": [ { "provider_references": [ 28970287 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 37.73, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL ESTRADIOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82670", "description": "ASSAY OF TOTAL ESTRADIOL", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 27.38, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL ESTRADIOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82670", "description": "ASSAY OF TOTAL ESTRADIOL", "negotiated_rates": [ { "provider_references": [ 28998379 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 27.38, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL ESTRADIOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82670", "description": "ASSAY OF TOTAL ESTRADIOL", "negotiated_rates": [ { "provider_references": [ 28998387 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 27.38, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL ESTRADIOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82670", "description": "ASSAY OF TOTAL ESTRADIOL", "negotiated_rates": [ { "provider_references": [ 28970304 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 27.38, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL ESTRADIOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82670", "description": "ASSAY OF TOTAL ESTRADIOL", "negotiated_rates": [ { "provider_references": [ 29082619 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 27.38, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL ESTRADIOL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82670", "description": "ASSAY OF TOTAL ESTRADIOL", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 27.38, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG BLOOD FOLIC ACID SERUM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "82746", "description": "BLOOD FOLIC ACID SERUM", "negotiated_rates": [ { "provider_references": [ 28998369 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.41, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GONADOTROPIN (FSH)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83001", "description": "GONADOTROPIN (FSH)", "negotiated_rates": [ { "provider_references": [ 29082619 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.21, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GONADOTROPIN (FSH)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83001", "description": "GONADOTROPIN (FSH)", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.21, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GONADOTROPIN (FSH)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83001", "description": "GONADOTROPIN (FSH)", "negotiated_rates": [ { "provider_references": [ 28970304 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.21, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GONADOTROPIN (LH)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83002", "description": "GONADOTROPIN (LH)", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.15, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GONADOTROPIN (LH)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83002", "description": "GONADOTROPIN (LH)", "negotiated_rates": [ { "provider_references": [ 28970304 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.15, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28970288 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28970286 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28970293 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28998383 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29082622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28998372 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29082631 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29082633 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.52, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 28966621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83036", "description": "GLYCOSYLATED HEMOGLOBIN TEST", "negotiated_rates": [ { "provider_references": [ 29033875 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.71, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IMMUNOASSAY ANALYTE QUANTITATIVE NOS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83520", "description": "IMMUNOASSAY ANALYTE QUANTITATIVE NOS", "negotiated_rates": [ { "provider_references": [ 28957521 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.92, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IMMUNOASSAY ANALYTE QUANTITATIVE NOS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83520", "description": "IMMUNOASSAY ANALYTE QUANTITATIVE NOS", "negotiated_rates": [ { "provider_references": [ 29082616 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.92, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF INSULIN,TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83525", "description": "ASSAY OF INSULIN,TOTAL", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 11.2, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPOPROTEIN BLOOD QUAN NUMBERS & SUBCLASSES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83704", "description": "LIPOPROTEIN BLOOD QUAN NUMBERS & SUBCLASSES", "negotiated_rates": [ { "provider_references": [ 28970299 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 33.51, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LIPOPROTEIN BLOOD QUAN NUMBERS & SUBCLASSES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83704", "description": "LIPOPROTEIN BLOOD QUAN NUMBERS & SUBCLASSES", "negotiated_rates": [ { "provider_references": [ 29091219 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.19, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF MAGNESIUM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83735", "description": "ASSAY OF MAGNESIUM", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.57, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF MAGNESIUM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83735", "description": "ASSAY OF MAGNESIUM", "negotiated_rates": [ { "provider_references": [ 29091218 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.7, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF PARATHORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "83970", "description": "ASSAY OF PARATHORMONE", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 40.45, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF PROGESTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84144", "description": "ASSAY OF PROGESTERONE", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 20.44, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF PROLACTIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84146", "description": "ASSAY OF PROLACTIN", "negotiated_rates": [ { "provider_references": [ 28998379 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.99, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF PROLACTIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84146", "description": "ASSAY OF PROLACTIN", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.99, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF PROLACTIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84146", "description": "ASSAY OF PROLACTIN", "negotiated_rates": [ { "provider_references": [ 29082612 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.99, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF PROLACTIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84146", "description": "ASSAY OF PROLACTIN", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.99, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG PROSTATE SPECIFIC ANTIGEN,TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84153", "description": "PROSTATE SPECIFIC ANTIGEN,TOTAL", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG PROSTATE SPECIFIC ANTIGEN,TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84153", "description": "PROSTATE SPECIFIC ANTIGEN,TOTAL", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG PROSTATE SPECIFIC ANTIGEN,TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84153", "description": "PROSTATE SPECIFIC ANTIGEN,TOTAL", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG PROSTATE SPECIFIC ANTIGEN,TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84153", "description": "PROSTATE SPECIFIC ANTIGEN,TOTAL", "negotiated_rates": [ { "provider_references": [ 28998387 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG PROSTATE SPECIFIC ANTIGEN,TOTAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84153", "description": "PROSTATE SPECIFIC ANTIGEN,TOTAL", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG PROSTATE SPECIFIC ANTIGEN,FREE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84154", "description": "PROSTATE SPECIFIC ANTIGEN,FREE", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG PROSTATE SPECIFIC ANTIGEN,FREE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84154", "description": "PROSTATE SPECIFIC ANTIGEN,FREE", "negotiated_rates": [ { "provider_references": [ 28998387 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG PROSTATE SPECIFIC ANTIGEN,FREE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84154", "description": "PROSTATE SPECIFIC ANTIGEN,FREE", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.02, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF SEX HORMONE BINDING GLOBULIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84270", "description": "ASSAY OF SEX HORMONE BINDING GLOBULIN", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 21.3, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TESTOSTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84402", "description": "ASSAY OF TESTOSTERONE", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 24.96, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TESTOSTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84402", "description": "ASSAY OF TESTOSTERONE", "negotiated_rates": [ { "provider_references": [ 29082602 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 24.96, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL TESTOSTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84403", "description": "ASSAY OF TOTAL TESTOSTERONE", "negotiated_rates": [ { "provider_references": [ 28998373 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 25.29, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL TESTOSTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84403", "description": "ASSAY OF TOTAL TESTOSTERONE", "negotiated_rates": [ { "provider_references": [ 28998380 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 25.29, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL TESTOSTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84403", "description": "ASSAY OF TOTAL TESTOSTERONE", "negotiated_rates": [ { "provider_references": [ 28998381 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 25.29, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL TESTOSTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84403", "description": "ASSAY OF TOTAL TESTOSTERONE", "negotiated_rates": [ { "provider_references": [ 28998379 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 25.29, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL TESTOSTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84403", "description": "ASSAY OF TOTAL TESTOSTERONE", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 25.29, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84436", "description": "ASSAY OF TOTAL THYROXINE", "negotiated_rates": [ { "provider_references": [ 28998368 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.73, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84436", "description": "ASSAY OF TOTAL THYROXINE", "negotiated_rates": [ { "provider_references": [ 28998383 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.73, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TOTAL THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84436", "description": "ASSAY OF TOTAL THYROXINE", "negotiated_rates": [ { "provider_references": [ 29082616 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.73, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF FREE THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84439", "description": "ASSAY OF FREE THYROXINE", "negotiated_rates": [ { "provider_references": [ 28970288 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.84, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF FREE THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84439", "description": "ASSAY OF FREE THYROXINE", "negotiated_rates": [ { "provider_references": [ 28957521 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.84, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF FREE THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84439", "description": "ASSAY OF FREE THYROXINE", "negotiated_rates": [ { "provider_references": [ 29082631 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.84, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF FREE THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84439", "description": "ASSAY OF FREE THYROXINE", "negotiated_rates": [ { "provider_references": [ 28998382 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.84, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF FREE THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84439", "description": "ASSAY OF FREE THYROXINE", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.84, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF FREE THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84439", "description": "ASSAY OF FREE THYROXINE", "negotiated_rates": [ { "provider_references": [ 29082616 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.84, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28970288 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28970293 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28998382 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28998383 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28998368 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29082631 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28998372 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28970299 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29082633 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29082626 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29082611 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29082616 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28957521 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28970287 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.46, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 29033875 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.8, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84443", "description": "ASSAY THYROID STIM HORMONE", "negotiated_rates": [ { "provider_references": [ 28980131 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.8, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TRANSFERASE ASPARTATE AMINO (AST) (SGOT)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84450", "description": "TRANSFERASE ASPARTATE AMINO (AST) (SGOT)", "negotiated_rates": [ { "provider_references": [ 29082618 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.44, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TRANSFERASE ALANINE AMINO (ALT) (SGPT)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84460", "description": "TRANSFERASE ALANINE AMINO (ALT) (SGPT)", "negotiated_rates": [ { "provider_references": [ 29082618 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.44, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ASSAY OF TRIGLYCERIDES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84478", "description": "ASSAY OF TRIGLYCERIDES", "negotiated_rates": [ { "provider_references": [ 29082618 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.63, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG THYROID HORM UPTAKE/THYR HORM BINDING RATIO", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84479", "description": "THYROID HORM UPTAKE/THYR HORM BINDING RATIO", "negotiated_rates": [ { "provider_references": [ 28998368 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.34, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TRIIODOTHYRONINE TOTAL ASSAY, TT-3", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84480", "description": "TRIIODOTHYRONINE TOTAL ASSAY, TT-3", "negotiated_rates": [ { "provider_references": [ 28998382 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.9, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TRIIODOTHYRONINE TOTAL ASSAY, TT-3", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84480", "description": "TRIIODOTHYRONINE TOTAL ASSAY, TT-3", "negotiated_rates": [ { "provider_references": [ 28970288 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.9, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TRIIODOTHYRONINE TOTAL ASSAY, TT-3", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84480", "description": "TRIIODOTHYRONINE TOTAL ASSAY, TT-3", "negotiated_rates": [ { "provider_references": [ 29082616 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.9, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TRIIODOTHYRONINE FREE ASSAY (FT-3)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84481", "description": "TRIIODOTHYRONINE FREE ASSAY (FT-3)", "negotiated_rates": [ { "provider_references": [ 28970288 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.6, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TRIIODOTHYRONINE FREE ASSAY (FT-3)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84481", "description": "TRIIODOTHYRONINE FREE ASSAY (FT-3)", "negotiated_rates": [ { "provider_references": [ 28957521 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.6, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TRIIODOTHYRONINE FREE ASSAY (FT-3)", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84481", "description": "TRIIODOTHYRONINE FREE ASSAY (FT-3)", "negotiated_rates": [ { "provider_references": [ 28998382 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.6, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CHORIONIC GONADOTROPIN, QUANT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "84702", "description": "CHORIONIC GONADOTROPIN, QUANT", "negotiated_rates": [ { "provider_references": [ 29082618 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.75, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEMOGLOBIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85018", "description": "HEMOGLOBIN", "negotiated_rates": [ { "provider_references": [ 29064716 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEMOGLOBIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85018", "description": "HEMOGLOBIN", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082611 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082607 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082624 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082629 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28998372 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28970299 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28998375 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28998387 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28998389 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28998383 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28998363 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28998368 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28970294 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28970286 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28970293 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28970303 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28970287 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082633 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082615 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28970295 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.61, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 29033875 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.77, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC & AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85025", "description": "COMPLETE CBC & AUTO DIFF WBC", "negotiated_rates": [ { "provider_references": [ 28980131 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.77, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85027", "description": "COMPLETE CBC", "negotiated_rates": [ { "provider_references": [ 28998379 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.34, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG COMPLETE CBC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "85027", "description": "COMPLETE CBC", "negotiated_rates": [ { "provider_references": [ 29082616 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.34, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HETEROPHILE ANTIBODIES,SCREEN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86308", "description": "HETEROPHILE ANTIBODIES,SCREEN", "negotiated_rates": [ { "provider_references": [ 29064716 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IMMUNOASSAY,INFECT AGENT,QUANT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86317", "description": "IMMUNOASSAY,INFECT AGENT,QUANT", "negotiated_rates": [ { "provider_references": [ 28970284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.69, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG MICROSOMAL ANTIBODY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86376", "description": "MICROSOMAL ANTIBODY", "negotiated_rates": [ { "provider_references": [ 28998382 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.26, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG MICROSOMAL ANTIBODY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86376", "description": "MICROSOMAL ANTIBODY", "negotiated_rates": [ { "provider_references": [ 28998368 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.26, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86480", "description": "TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON", "negotiated_rates": [ { "provider_references": [ 28998363 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 60.74, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86480", "description": "TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON", "negotiated_rates": [ { "provider_references": [ 28970284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 60.74, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86480", "description": "TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON", "negotiated_rates": [ { "provider_references": [ 28970296 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 60.74, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86592", "description": "SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL", "negotiated_rates": [ { "provider_references": [ 28970298 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 4.18, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86592", "description": "SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 4.18, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86592", "description": "SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL", "negotiated_rates": [ { "provider_references": [ 28998371 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 4.18, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LYME DISEASE ANTIBODY, CONFIRMATORY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86617", "description": "LYME DISEASE ANTIBODY, CONFIRMATORY", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.18, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG LYME DISEASE ANTIBODY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86618", "description": "LYME DISEASE ANTIBODY", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.69, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG EPSTEIN-BARR ANTIBODY,NUCLEAR", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86664", "description": "EPSTEIN-BARR ANTIBODY,NUCLEAR", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.98, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG EPSTEIN-BARR ANTIBODY,V CAPSID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86665", "description": "EPSTEIN-BARR ANTIBODY,V CAPSID", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.78, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HERPES SIMPLEX TEST, TYPE 2", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86696", "description": "HERPES SIMPLEX TEST, TYPE 2", "negotiated_rates": [ { "provider_references": [ 28970298 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 18.96, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEPATITIS A ANTIBODY HAAB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86708", "description": "HEPATITIS A ANTIBODY HAAB", "negotiated_rates": [ { "provider_references": [ 28970284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.14, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG MUMPS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86735", "description": "MUMPS", "negotiated_rates": [ { "provider_references": [ 28970284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.79, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG RUBELLA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86762", "description": "RUBELLA", "negotiated_rates": [ { "provider_references": [ 28970284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.1, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG RUBEOLA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86765", "description": "RUBEOLA", "negotiated_rates": [ { "provider_references": [ 28970284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.62, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG VARICELLA-ZOSTER", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86787", "description": "VARICELLA-ZOSTER", "negotiated_rates": [ { "provider_references": [ 28970284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.62, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEPATITIS C AB TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86803", "description": "HEPATITIS C AB TEST", "negotiated_rates": [ { "provider_references": [ 28998383 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.98, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEPATITIS C AB TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86803", "description": "HEPATITIS C AB TEST", "negotiated_rates": [ { "provider_references": [ 29082627 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.98, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG HEPATITIS C AB TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "86803", "description": "HEPATITIS C AB TEST", "negotiated_rates": [ { "provider_references": [ 28970298 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 13.98, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CULTURE SPEC, BACTERIA, NOT URINE,STOOL,BLOOD", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87070", "description": "CULTURE SPEC, BACTERIA, NOT URINE,STOOL,BLOOD", "negotiated_rates": [ { "provider_references": [ 28970286 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.45, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CULTURE SPECIMEN, ANAEROBIC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87075", "description": "CULTURE SPECIMEN, ANAEROBIC", "negotiated_rates": [ { "provider_references": [ 28970286 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 9.28, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG BACTERIA CULTURE SCREEN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87081", "description": "BACTERIA CULTURE SCREEN", "negotiated_rates": [ { "provider_references": [ 28957518 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.5, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE CULTURE, COLONY COUNT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87086", "description": "URINE CULTURE, COLONY COUNT", "negotiated_rates": [ { "provider_references": [ 29082625 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE CULTURE, COLONY COUNT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87086", "description": "URINE CULTURE, COLONY COUNT", "negotiated_rates": [ { "provider_references": [ 28970290 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE CULTURE, COLONY COUNT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87086", "description": "URINE CULTURE, COLONY COUNT", "negotiated_rates": [ { "provider_references": [ 29082617 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.91, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE CULTURE, COLONY COUNT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87086", "description": "URINE CULTURE, COLONY COUNT", "negotiated_rates": [ { "provider_references": [ 29033873 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.07, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE BACT CULT ID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87088", "description": "URINE BACT CULT ID", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.93, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG URINE BACT CULT ID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87088", "description": "URINE BACT CULT ID", "negotiated_rates": [ { "provider_references": [ 28970290 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.93, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CULTURE TYPING, NUCLEIC ACID AMP PROBE, CULT/ISOLATE, EACH", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87150", "description": "CULTURE TYPING, NUCLEIC ACID AMP PROBE, CULT/ISOLATE, EACH", "negotiated_rates": [ { "provider_references": [ 28957518 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG OVA AND PARASITES SMEARS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87177", "description": "OVA AND PARASITES SMEARS", "negotiated_rates": [ { "provider_references": [ 29082601 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.72, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG OVA AND PARASITES SMEARS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87177", "description": "OVA AND PARASITES SMEARS", "negotiated_rates": [ { "provider_references": [ 29082603 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.72, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ANTIBIOTIC SENS,MIC,EACH", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87186", "description": "ANTIBIOTIC SENS,MIC,EACH", "negotiated_rates": [ { "provider_references": [ 28970289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.48, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ANTIBIOTIC SENS,MIC,EACH", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87186", "description": "ANTIBIOTIC SENS,MIC,EACH", "negotiated_rates": [ { "provider_references": [ 28970286 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.48, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG ANTIBIOTIC SENS,MIC,EACH", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87186", "description": "ANTIBIOTIC SENS,MIC,EACH", "negotiated_rates": [ { "provider_references": [ 28970290 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 8.48, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG SMEAR, COMPLEX STAIN, FOR OVA/ PARA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87209", "description": "SMEAR, COMPLEX STAIN, FOR OVA/ PARA", "negotiated_rates": [ { "provider_references": [ 29082601 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.62, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG SMEAR, COMPLEX STAIN, FOR OVA/ PARA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87209", "description": "SMEAR, COMPLEX STAIN, FOR OVA/ PARA", "negotiated_rates": [ { "provider_references": [ 29082603 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.62, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IAAD IA GIARDIA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87329", "description": "IAAD IA GIARDIA", "negotiated_rates": [ { "provider_references": [ 29082603 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 11.74, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IAAD IA GIARDIA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87329", "description": "IAAD IA GIARDIA", "negotiated_rates": [ { "provider_references": [ 29082601 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 11.74, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IAAD IA HEPATITIS B SURFACE ANTIGEN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87340", "description": "IAAD IA HEPATITIS B SURFACE ANTIGEN", "negotiated_rates": [ { "provider_references": [ 28970298 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.12, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87389", "description": "IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE", "negotiated_rates": [ { "provider_references": [ 28970298 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 23.6, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87389", "description": "IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE", "negotiated_rates": [ { "provider_references": [ 28998371 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 23.6, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87389", "description": "IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 23.6, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87491", "description": "IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "negotiated_rates": [ { "provider_references": [ 28998371 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87491", "description": "IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "negotiated_rates": [ { "provider_references": [ 28998387 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87491", "description": "IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87491", "description": "IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "negotiated_rates": [ { "provider_references": [ 28970297 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87491", "description": "IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "negotiated_rates": [ { "provider_references": [ 29033872 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87491", "description": "IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ", "negotiated_rates": [ { "provider_references": [ 28980130 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87507", "description": "IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25", "negotiated_rates": [ { "provider_references": [ 29082601 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 408.44, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG N.GONORRHOEAE, DNA, AMP PROB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87591", "description": "N.GONORRHOEAE, DNA, AMP PROB", "negotiated_rates": [ { "provider_references": [ 28998387 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG N.GONORRHOEAE, DNA, AMP PROB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87591", "description": "N.GONORRHOEAE, DNA, AMP PROB", "negotiated_rates": [ { "provider_references": [ 28998384 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG N.GONORRHOEAE, DNA, AMP PROB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87591", "description": "N.GONORRHOEAE, DNA, AMP PROB", "negotiated_rates": [ { "provider_references": [ 28998371 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG N.GONORRHOEAE, DNA, AMP PROB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87591", "description": "N.GONORRHOEAE, DNA, AMP PROB", "negotiated_rates": [ { "provider_references": [ 28970297 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG N.GONORRHOEAE, DNA, AMP PROB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87591", "description": "N.GONORRHOEAE, DNA, AMP PROB", "negotiated_rates": [ { "provider_references": [ 29033872 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG N.GONORRHOEAE, DNA, AMP PROB", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87591", "description": "N.GONORRHOEAE, DNA, AMP PROB", "negotiated_rates": [ { "provider_references": [ 28980130 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES, POOLED RESULT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87624", "description": "CHG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES, POOLED RESULT", "negotiated_rates": [ { "provider_references": [ 29082609 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES, POOLED RESULT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87624", "description": "CHG IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES, POOLED RESULT", "negotiated_rates": [ { "provider_references": [ 28998374 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.39, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87661", "description": "IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH", "negotiated_rates": [ { "provider_references": [ 29033872 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87661", "description": "IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH", "negotiated_rates": [ { "provider_references": [ 28980130 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DETECT AGENT NOS, DNA, AMP", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87798", "description": "DETECT AGENT NOS, DNA, AMP", "negotiated_rates": [ { "provider_references": [ 28980130 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DETECT AGENT NOS, DNA, AMP", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87798", "description": "DETECT AGENT NOS, DNA, AMP", "negotiated_rates": [ { "provider_references": [ 28980130 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DETECT AGENT NOS, DNA, AMP", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87798", "description": "DETECT AGENT NOS, DNA, AMP", "negotiated_rates": [ { "provider_references": [ 29033872 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DETECT AGENT NOS, DNA, AMP", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87798", "description": "DETECT AGENT NOS, DNA, AMP", "negotiated_rates": [ { "provider_references": [ 29033872 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.09, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DETECT AGENT, MULT ORGS, DNA, AMP", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87801", "description": "DETECT AGENT, MULT ORGS, DNA, AMP", "negotiated_rates": [ { "provider_references": [ 29033872 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 70.2, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DETECT AGENT, MULT ORGS, DNA, AMP", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87801", "description": "DETECT AGENT, MULT ORGS, DNA, AMP", "negotiated_rates": [ { "provider_references": [ 28980130 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 70.2, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DETECT AGENT,IMMUN,DIR OBS,INFLUENZA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87804", "description": "DETECT AGENT,IMMUN,DIR OBS,INFLUENZA", "negotiated_rates": [ { "provider_references": [ 28980135 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 28.45, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "QW", "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG DETECT AGENT,IMMUN,DIR OBS,INFLUENZA", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "87804", "description": "DETECT AGENT,IMMUN,DIR OBS,INFLUENZA", "negotiated_rates": [ { "provider_references": [ 28980135 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 63.45, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "QW" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "88175", "description": "CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER", "negotiated_rates": [ { "provider_references": [ 29082609 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 26.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "88175", "description": "CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER", "negotiated_rates": [ { "provider_references": [ 29082604 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 26.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR CHG CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "88175", "description": "CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER", "negotiated_rates": [ { "provider_references": [ 28998374 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 26.08, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90460", "description": "IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 65.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90460", "description": "IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID", "negotiated_rates": [ { "provider_references": [ 29064713 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 65.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90460", "description": "IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 65.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, EA ADD VACCINE/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90461", "description": "IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, EA ADD VACCINE/TOXOID", "negotiated_rates": [ { "provider_references": [ 29064713 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, EA ADD VACCINE/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90461", "description": "IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, EA ADD VACCINE/TOXOID", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90471", "description": "IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "negotiated_rates": [ { "provider_references": [ 29082608 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 22.79, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90471", "description": "IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "negotiated_rates": [ { "provider_references": [ 29082600 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 22.79, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90471", "description": "IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "negotiated_rates": [ { "provider_references": [ 28972193 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 22.79, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90471", "description": "IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "negotiated_rates": [ { "provider_references": [ 28979422 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 22.79, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90471", "description": "IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "negotiated_rates": [ { "provider_references": [ 28967249 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 30.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90471", "description": "IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "negotiated_rates": [ { "provider_references": [ 29064734 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 34.28, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90471", "description": "IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID", "negotiated_rates": [ { "provider_references": [ 29082537 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 90.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ,ADMIN,EACH ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90472", "description": "IMMUNIZ,ADMIN,EACH ADDL", "negotiated_rates": [ { "provider_references": [ 29082608 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNIZ,ADMIN,EACH ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90472", "description": "IMMUNIZ,ADMIN,EACH ADDL", "negotiated_rates": [ { "provider_references": [ 28979422 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MENACWY-TT CONJ VACCINE SEROGROUPS ACWY FOR IM USE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90619", "description": "", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 243.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90620", "description": "MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 240.26, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90648", "description": "HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 68.45, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PCV20 VACCINE FOR INTRAMUSCULAR USE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90677", "description": "PCV20 VACCINE FOR INTRAMUSCULAR USE", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 378.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PCV20 VACCINE FOR INTRAMUSCULAR USE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90677", "description": "PCV20 VACCINE FOR INTRAMUSCULAR USE", "negotiated_rates": [ { "provider_references": [ 29082608 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 789.63, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PCV20 VACCINE FOR INTRAMUSCULAR USE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90677", "description": "PCV20 VACCINE FOR INTRAMUSCULAR USE", "negotiated_rates": [ { "provider_references": [ 28979422 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 789.63, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR DTAP IMMUNIZATION, IM, <7 YO", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90700", "description": "DTAP IMMUNIZATION, IM, <7 YO", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 53.38, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TDAP VACCINE >7 YO, IM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90715", "description": "TDAP VACCINE >7 YO, IM", "negotiated_rates": [ { "provider_references": [ 29064734 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 67.18, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TDAP VACCINE >7 YO, IM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90715", "description": "TDAP VACCINE >7 YO, IM", "negotiated_rates": [ { "provider_references": [ 29064713 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 69.2, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TDAP VACCINE >7 YO, IM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90715", "description": "TDAP VACCINE >7 YO, IM", "negotiated_rates": [ { "provider_references": [ 28967249 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 80.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TDAP VACCINE >7 YO, IM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90715", "description": "TDAP VACCINE >7 YO, IM", "negotiated_rates": [ { "provider_references": [ 29082608 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 85.41, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TDAP VACCINE >7 YO, IM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90715", "description": "TDAP VACCINE >7 YO, IM", "negotiated_rates": [ { "provider_references": [ 29082600 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 85.41, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TDAP VACCINE >7 YO, IM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90715", "description": "TDAP VACCINE >7 YO, IM", "negotiated_rates": [ { "provider_references": [ 28972193 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 87.05, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TDAP VACCINE >7 YO, IM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "90715", "description": "TDAP VACCINE >7 YO, IM", "negotiated_rates": [ { "provider_references": [ 28979422 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 87.05, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31993858 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 32302589 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 32285128 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31878220 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 32302536 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31501637 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31981748 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 29091233 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 124.88, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, NEW PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92004", "description": "EYE EXAM, NEW PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 29082621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 124.88, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,INTERMED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92012", "description": "EYE EXAM, EST PATIENT,INTERMED", "negotiated_rates": [ { "provider_references": [ 29082597 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 61.25, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 32302122 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 32332512 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 32520147 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31962561 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31962809 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 30602888 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31835045 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31823425 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31667497 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 31950760 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 29051101 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.79, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 29082599 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.79, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EYE EXAM, EST PATIENT,COMPREHESV", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92014", "description": "EYE EXAM, EST PATIENT,COMPREHESV", "negotiated_rates": [ { "provider_references": [ 28970305 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.79, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30186465 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31980261 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31909263 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31991947 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302001 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31750475 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29307000 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31679900 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31470352 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30137203 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32222284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32222758 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29911305 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32221648 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32218593 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32218626 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31991108 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31981610 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30041310 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29275816 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31981644 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32275899 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31411178 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32285128 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30081804 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32299892 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31630731 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32320633 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30123261 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300390 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31925786 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302198 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31597744 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302333 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31714556 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32320296 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32320309 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32320620 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32320731 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32320744 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32332512 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32482422 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30123266 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300373 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31925796 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31993858 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29882273 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29959081 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30259606 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31189761 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31411169 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32298424 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32299917 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300047 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300245 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300300 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300308 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300436 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302105 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302121 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302207 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302280 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302353 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302412 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302432 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302435 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302542 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302552 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302589 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302183 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302341 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302465 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302537 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30145653 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302509 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31597591 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31597752 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29107498 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29107511 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29180714 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29225473 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30056203 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30195310 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300062 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29959089 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29416284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31750479 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31794683 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31878193 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31878220 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302056 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300419 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31878221 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32300414 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32298430 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32302536 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 30334741 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 29502513 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 32219757 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REFRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92015", "description": "REFRACTION", "negotiated_rates": [ { "provider_references": [ 31980952 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR VISUAL FIELD EXAM,EXTENDED", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92083", "description": "VISUAL FIELD EXAM,EXTENDED", "negotiated_rates": [ { "provider_references": [ 29033870 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 69.77, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR COMPUTERIZED OPHTHALMIC DX IMAGING (OCT) OPTIC NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92133", "description": "COMPUTERIZED OPHTHALMIC DX IMAGING (OCT) OPTIC NERVE", "negotiated_rates": [ { "provider_references": [ 29082621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 33.41, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR FUNDAL PHOTOGRAPHY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92250", "description": "FUNDAL PHOTOGRAPHY", "negotiated_rates": [ { "provider_references": [ 28970305 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 60.13, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR FUNDAL PHOTOGRAPHY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92250", "description": "FUNDAL PHOTOGRAPHY", "negotiated_rates": [ { "provider_references": [ 29051101 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 90.13, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EAR MICROSCOPY EXAMINATION", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92504", "description": "EAR MICROSCOPY EXAMINATION", "negotiated_rates": [ { "provider_references": [ 28962611 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 33.02, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PURE TONE HEARING TEST, AIR", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92551", "description": "PURE TONE HEARING TEST, AIR", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.2, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PURE TONE HEARING TEST, AIR", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92551", "description": "PURE TONE HEARING TEST, AIR", "negotiated_rates": [ { "provider_references": [ 29064710 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.2, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PURE TONE HEARING TEST, AIR", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92551", "description": "PURE TONE HEARING TEST, AIR", "negotiated_rates": [ { "provider_references": [ 29064713 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.2, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PURE TONE HEARING TEST, AIR", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92551", "description": "PURE TONE HEARING TEST, AIR", "negotiated_rates": [ { "provider_references": [ 29064718 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.2, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR COMPREHENSIVE HEARING TEST", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92557", "description": "COMPREHENSIVE HEARING TEST", "negotiated_rates": [ { "provider_references": [ 28975290 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 56.57, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR TYMPANOMETRY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "92567", "description": "TYMPANOMETRY", "negotiated_rates": [ { "provider_references": [ 28975290 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.76, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM, COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93000", "description": "ELECTROCARDIOGRAM, COMPLETE", "negotiated_rates": [ { "provider_references": [ 29065952 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.98, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM, COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93000", "description": "ELECTROCARDIOGRAM, COMPLETE", "negotiated_rates": [ { "provider_references": [ 29082606 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.27, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM, COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93000", "description": "ELECTROCARDIOGRAM, COMPLETE", "negotiated_rates": [ { "provider_references": [ 28957530 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.27, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM, COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93000", "description": "ELECTROCARDIOGRAM, COMPLETE", "negotiated_rates": [ { "provider_references": [ 29065946 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.27, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM, COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93000", "description": "ELECTROCARDIOGRAM, COMPLETE", "negotiated_rates": [ { "provider_references": [ 29091238 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.27, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM, COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93000", "description": "ELECTROCARDIOGRAM, COMPLETE", "negotiated_rates": [ { "provider_references": [ 29082598 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.27, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM, COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93000", "description": "ELECTROCARDIOGRAM, COMPLETE", "negotiated_rates": [ { "provider_references": [ 28979406 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.27, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM REPORT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93010", "description": "ELECTROCARDIOGRAM REPORT", "negotiated_rates": [ { "provider_references": [ 29064760 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ELECTROCARDIOGRAM REPORT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93010", "description": "ELECTROCARDIOGRAM REPORT", "negotiated_rates": [ { "provider_references": [ 29091222 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 51.0, "expiration_date": "2026-12-31", "service_code": [ "23" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93306", "description": "ECHO HEART XTHORACIC,COMPLETE W DOPPLER", "negotiated_rates": [ { "provider_references": [ 28966625 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 69.32, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "26" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "93306", "description": "ECHO HEART XTHORACIC,COMPLETE W DOPPLER", "negotiated_rates": [ { "provider_references": [ 28966625 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 104.59, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "TC" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ALLERGY PATCH TESTS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "95044", "description": "ALLERGY PATCH TESTS", "negotiated_rates": [ { "provider_references": [ 28966620 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.42, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR IMMUNOTHERAPY, 2+ INJECTIONS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "95117", "description": "IMMUNOTHERAPY, 2+ INJECTIONS", "negotiated_rates": [ { "provider_references": [ 29089074 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 14.21, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96110", "description": "DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 121.06, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "provider_references": [ 29051105 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.19, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "provider_references": [ 28957520 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.19, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "provider_references": [ 28980136 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 5.19, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "provider_references": [ 29064718 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.77, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "provider_references": [ 29064718 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.77, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.77, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 12.77, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "provider_references": [ 29082537 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 50.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96160", "description": "PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "negotiated_rates": [ { "provider_references": [ 29064718 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.84, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96160", "description": "PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.84, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96160", "description": "PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "negotiated_rates": [ { "provider_references": [ 29064713 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.84, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96160", "description": "PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "negotiated_rates": [ { "provider_references": [ 29064773 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.84, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96160", "description": "PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.84, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96372", "description": "INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT", "negotiated_rates": [ { "provider_references": [ 29033871 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.47, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "96372", "description": "INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT", "negotiated_rates": [ { "provider_references": [ 28972186 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 15.47, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR HOT OR COLD PACKS THERAPY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97010", "description": "HOT OR COLD PACKS THERAPY", "negotiated_rates": [ { "provider_references": [ 29089080 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR HOT OR COLD PACKS THERAPY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97010", "description": "HOT OR COLD PACKS THERAPY", "negotiated_rates": [ { "provider_references": [ 29051107 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR HOT OR COLD PACKS THERAPY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97010", "description": "HOT OR COLD PACKS THERAPY", "negotiated_rates": [ { "provider_references": [ 29032997 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR HOT OR COLD PACKS THERAPY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97010", "description": "HOT OR COLD PACKS THERAPY", "negotiated_rates": [ { "provider_references": [ 28966622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR HOT OR COLD PACKS THERAPY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97010", "description": "HOT OR COLD PACKS THERAPY", "negotiated_rates": [ { "provider_references": [ 28979419 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 17.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PARAFFIN BATH THERAPY", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97018", "description": "PARAFFIN BATH THERAPY", "negotiated_rates": [ { "provider_references": [ 29089080 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 6.8, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO", "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 28970306 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 28960249 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29032996 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29089080 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 28957528 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 28957529 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29032997 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29051107 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29032999 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29065949 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29082636 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 28979419 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29082635 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 28966622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 28998277 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 92.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29082531 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 92.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUTIC EXERCISES", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97110", "description": "THERAPEUTIC EXERCISES", "negotiated_rates": [ { "provider_references": [ 29082530 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 92.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28957529 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 20.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28966622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 20.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29082635 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 20.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28979419 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 20.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28970306 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28960249 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28957528 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29032996 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29032997 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29089080 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29051107 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29065949 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29032999 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97112", "description": "NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29082636 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 35.3, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28970306 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28960249 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28957528 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29032996 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29032997 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28998378 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29089080 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29051107 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28966622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 28979419 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR MANUAL THER TECH,1+REGIONS,EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97140", "description": "MANUAL THER TECH,1+REGIONS,EA 15 MIN", "negotiated_rates": [ { "provider_references": [ 29082635 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97161", "description": "PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS", "negotiated_rates": [ { "provider_references": [ 29032999 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.81, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97165", "description": "OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS", "negotiated_rates": [ { "provider_references": [ 28998378 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 80.89, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 28957528 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 23.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 29032997 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 23.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 29051107 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 23.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 29065949 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 23.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 29082636 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 23.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 28970306 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 28960249 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 28957529 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 29032996 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 28998378 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 29089080 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GO" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 28966622 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 28979419 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "97530", "description": "THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN", "negotiated_rates": [ { "provider_references": [ 29082635 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 38.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GP" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR VISUAL SCREENING TEST, BILAT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99173", "description": "VISUAL SCREENING TEST, BILAT", "negotiated_rates": [ { "provider_references": [ 29064710 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR VISUAL SCREENING TEST, BILAT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99173", "description": "VISUAL SCREENING TEST, BILAT", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR VISUAL SCREENING TEST, BILAT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99173", "description": "VISUAL SCREENING TEST, BILAT", "negotiated_rates": [ { "provider_references": [ 29064718 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR VISUAL SCREENING TEST, BILAT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99173", "description": "VISUAL SCREENING TEST, BILAT", "negotiated_rates": [ { "provider_references": [ 29064713 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "59" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99174", "description": "INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT", "negotiated_rates": [ { "provider_references": [ 29064721 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 33.6, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR SPECIAL SERVICE/PROC/REPORT", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99199", "description": "SPECIAL SERVICE/PROC/REPORT", "negotiated_rates": [ { "provider_references": [ 31714535 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "81" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99203", "description": "OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998391 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 56.81, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99203", "description": "OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29065950 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 83.19, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99203", "description": "OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979413 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 98.19, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99203", "description": "OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28966621 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 98.19, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99203", "description": "OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29082628 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 118.19, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99203", "description": "OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064733 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 157.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99203", "description": "OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064735 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 157.46, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99203", "description": "OFFICE O/P NEW LOW 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979399 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 306.81, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28957530 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 141.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28966618 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 141.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29089081 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 141.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998394 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 141.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091221 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 141.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29082610 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 156.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28967254 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 156.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091239 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 176.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29089075 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 180.64, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28980133 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 183.96, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051096 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 183.96, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28962610 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 201.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064761 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 335.34, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25", "GC" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064752 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 335.34, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "GC" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99204", "description": "OFFICE O/P NEW MOD 45 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051093 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 625.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99205", "description": "OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29082634 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 161.95, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99205", "description": "OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979405 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 196.7, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99205", "description": "OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28980139 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 211.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99205", "description": "OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28957520 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 211.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99205", "description": "OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091237 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 211.7, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99205", "description": "OFFICE O/P NEW HI 60 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28980136 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 211.7, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST SF 10 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99212", "description": "OFFICE O/P EST SF 10 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29065946 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 40.8, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28962611 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2.91, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28966624 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28972197 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091240 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28960248 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28975292 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28980138 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29082598 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28970307 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979421 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 62.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979414 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979410 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091223 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28957527 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091230 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979416 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091231 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091235 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28957525 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091228 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28972187 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28972192 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998390 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051105 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051104 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091229 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051103 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28939066 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051102 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998386 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998392 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998358 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998376 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998364 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998385 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29032998 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28967253 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979417 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 78.11, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979403 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 97.09, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29082614 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 101.91, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064719 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 134.49, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064715 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 134.49, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28967248 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 140.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29033885 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 217.33, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064714 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 251.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99213", "description": "OFFICE O/P EST LOW 20 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29082537 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 275.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 31905082 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 31991662 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 31991929 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 31837159 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 30056174 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 32299559 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 31218275 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 31835046 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 31950761 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28975290 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 39.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29033884 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 64.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29065952 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 80.57, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "SA" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28966626 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 80.57, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29032991 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28970308 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29089079 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29065945 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051100 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28966623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28967256 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28975289 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28939067 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29065948 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 100.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28980140 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28967255 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29033871 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29032995 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29032992 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28972189 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979395 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979402 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979408 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979412 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28972185 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28972191 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979396 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29082605 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979407 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28957526 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28957519 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28957524 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091234 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091227 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091232 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29033887 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979397 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998377 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998365 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998362 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998360 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28998359 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29033883 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 115.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28939065 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 135.96, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29089076 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 138.16, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "24" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29032990 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 145.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979409 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28962609 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.04, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28980135 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 151.04, "expiration_date": "2026-12-31", "service_code": [ "20" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28970302 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 152.68, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064716 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 189.84, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064757 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 193.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064758 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 193.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29064759 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 193.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28967252 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 206.69, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28980137 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 206.69, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99214", "description": "OFFICE O/P EST MOD 30 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051094 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 230.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99215", "description": "OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29051097 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 155.22, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99215", "description": "OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28972186 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 170.22, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99215", "description": "OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091225 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 170.22, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99215", "description": "OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28979400 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 170.22, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99215", "description": "OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29082637 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 170.22, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99215", "description": "OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 28967251 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 170.22, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "billing_code_type": "CPT", "billing_code_type_version": "2024", "billing_code": "99215", "description": "OFFICE O/P EST HI 40 MIN MUST BE MET OR EXCEEDED", "negotiated_rates": [ { "provider_references": [ 29091238 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 170.22, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNC", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99285", "description": "EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ", "negotiated_rates": [ { "provider_references": [ 29091222 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 876.0, "expiration_date": "2026-12-31", "service_code": [ "23" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,AGE 1-4", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99392", "description": "PREVENTIVE VISIT,EST,AGE 1-4", "negotiated_rates": [ { "provider_references": [ 29064721 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 183.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,AGE 1-4", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99392", "description": "PREVENTIVE VISIT,EST,AGE 1-4", "negotiated_rates": [ { "provider_references": [ 29064773 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 183.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,AGE 1-4", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99392", "description": "PREVENTIVE VISIT,EST,AGE 1-4", "negotiated_rates": [ { "provider_references": [ 29064774 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 183.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,AGE5-11", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99393", "description": "PREVENTIVE VISIT,EST,AGE5-11", "negotiated_rates": [ { "provider_references": [ 29064710 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 179.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,AGE5-11", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99393", "description": "PREVENTIVE VISIT,EST,AGE5-11", "negotiated_rates": [ { "provider_references": [ 29064713 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 179.71, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,12-17", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99394", "description": "PREVENTIVE VISIT,EST,12-17", "negotiated_rates": [ { "provider_references": [ 29064718 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 201.05, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,12-17", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99394", "description": "PREVENTIVE VISIT,EST,12-17", "negotiated_rates": [ { "provider_references": [ 29064717 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 201.05, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,18-39", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99395", "description": "PREVENTIVE VISIT,EST,18-39", "negotiated_rates": [ { "provider_references": [ 28967250 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 76.02, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,18-39", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99395", "description": "PREVENTIVE VISIT,EST,18-39", "negotiated_rates": [ { "provider_references": [ 29082606 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 123.98, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,18-39", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99395", "description": "PREVENTIVE VISIT,EST,18-39", "negotiated_rates": [ { "provider_references": [ 28979404 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 123.98, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,18-39", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99395", "description": "PREVENTIVE VISIT,EST,18-39", "negotiated_rates": [ { "provider_references": [ 28979406 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 123.98, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,40-64", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99396", "description": "PREVENTIVE VISIT,EST,40-64", "negotiated_rates": [ { "provider_references": [ 28972188 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.46, "expiration_date": "2026-12-31", "service_code": [ "10" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,40-64", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99396", "description": "PREVENTIVE VISIT,EST,40-64", "negotiated_rates": [ { "provider_references": [ 28979422 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,40-64", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99396", "description": "PREVENTIVE VISIT,EST,40-64", "negotiated_rates": [ { "provider_references": [ 29082608 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PREVENTIVE VISIT,EST,40-64", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99396", "description": "PREVENTIVE VISIT,EST,40-64", "negotiated_rates": [ { "provider_references": [ 29091226 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.46, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 31750481 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32302312 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "21" ], "billing_class": "professional", "setting": "inpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32300310 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "21" ], "billing_class": "professional", "setting": "inpatient", "billing_code_modifier": [ "GC" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32300310 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "21" ], "billing_class": "professional", "setting": "inpatient", "billing_code_modifier": [ "GC" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32207380 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32302602 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32302284 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "22" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 31189752 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "23" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32302174 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "23" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32302360 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "23" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32302462 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "02" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 31794680 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "02" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "95" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 29959091 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "21" ], "billing_class": "professional", "setting": "inpatient", "billing_code_modifier": [ "GC" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 29959091 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "21" ], "billing_class": "professional", "setting": "inpatient", "billing_code_modifier": [ "GC" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 32302437 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 31597599 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "22" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 31597723 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "21" ], "billing_class": "professional", "setting": "inpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2023", "billing_code": "99451", "description": "NTRPROF PHONE/INTRNET/ASSESS/ MANAGE >= 5 MIN", "negotiated_rates": [ { "provider_references": [ 31630738 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "2026-12-31", "service_code": [ "23" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REPLACEMENT NASAL CUSHION", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A7032", "description": "Replacement nasal cushion", "negotiated_rates": [ { "provider_references": [ 28957531 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 77.95, "expiration_date": "2026-12-31", "service_code": [ "12" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "NU", "KX" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR NASAL APPLICATION DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A7034", "description": "NASAL APPLICATION DEVICE", "negotiated_rates": [ { "provider_references": [ 28957531 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 226.37, "expiration_date": "2026-12-31", "service_code": [ "12" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "NU", "KX" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR POS AIRWAY PRESS HEADGEAR", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A7035", "description": "POS AIRWAY PRESS HEADGEAR", "negotiated_rates": [ { "provider_references": [ 28957531 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 131.37, "expiration_date": "2026-12-31", "service_code": [ "12" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "NU", "KX" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR POS AIRWAY PRESSURE TUBING", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A7037", "description": "POS AIRWAY PRESSURE TUBING", "negotiated_rates": [ { "provider_references": [ 28957531 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 64.0, "expiration_date": "2026-12-31", "service_code": [ "12" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "NU", "KX" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR POS AIRWAY PRESSURE FILTER", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A7038", "description": "POS AIRWAY PRESSURE FILTER", "negotiated_rates": [ { "provider_references": [ 28957531 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 7.56, "expiration_date": "2026-12-31", "service_code": [ "12" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "NU", "KX" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR REPL WATER CHAMBER, PAP DEV", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A7046", "description": "REPL WATER CHAMBER, PAP DEV", "negotiated_rates": [ { "provider_references": [ 28957531 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 82.91, "expiration_date": "2026-12-31", "service_code": [ "12" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "NU", "KX" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR GADOBUTROL INJECTION", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A9585", "description": "Gadobutrol injection", "negotiated_rates": [ { "provider_references": [ 29033878 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 1.74, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR GADOBUTROL INJECTION", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A9585", "description": "Gadobutrol injection", "negotiated_rates": [ { "provider_references": [ 29033877 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 1.74, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR GADOBUTROL INJECTION", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A9585", "description": "Gadobutrol injection", "negotiated_rates": [ { "provider_references": [ 29033878 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 1.74, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "JW" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR GADOBUTROL INJECTION", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A9585", "description": "Gadobutrol injection", "negotiated_rates": [ { "provider_references": [ 28980132 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR GADOBUTROL INJECTION", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "A9585", "description": "Gadobutrol injection", "negotiated_rates": [ { "provider_references": [ 28980132 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2.0, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "JW" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR PPPS, SUBSEQ VISIT", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G0439", "description": "PPPS, subseq visit", "negotiated_rates": [ { "provider_references": [ 29051098 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 137.91, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "25" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR ANNUAL ALCOHOL SCREEN, 5 TO 15 MIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G0442", "description": "ANNUAL ALCOHOL SCREEN, 5 TO 15 MIN", "negotiated_rates": [ { "provider_references": [ 29051098 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 19.27, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR DEPRESSION SCREEN ANNUAL, 5 TO 15 MINUTES", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G0444", "description": "DEPRESSION SCREEN ANNUAL, 5 TO 15 MINUTES", "negotiated_rates": [ { "provider_references": [ 29051098 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 19.27, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR COMPLEX E/M VISIT ADD ON", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G2211", "description": "COMPLEX E/M VISIT ADD ON", "negotiated_rates": [ { "provider_references": [ 29082614 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 3.65, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR COMPLEX E/M VISIT ADD ON", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G2211", "description": "COMPLEX E/M VISIT ADD ON", "negotiated_rates": [ { "provider_references": [ 29065945 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.35, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR COMPLEX E/M VISIT ADD ON", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G2211", "description": "COMPLEX E/M VISIT ADD ON", "negotiated_rates": [ { "provider_references": [ 28966623 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.35, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR COMPLEX E/M VISIT ADD ON", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G2211", "description": "COMPLEX E/M VISIT ADD ON", "negotiated_rates": [ { "provider_references": [ 28967256 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.35, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR COMPLEX E/M VISIT ADD ON", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G2211", "description": "COMPLEX E/M VISIT ADD ON", "negotiated_rates": [ { "provider_references": [ 29091221 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 16.35, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR COMPLEX E/M VISIT ADD ON", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "G2211", "description": "COMPLEX E/M VISIT ADD ON", "negotiated_rates": [ { "provider_references": [ 29064758 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 31.84, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INJ, CEFTRIAXONE SODIUM, PER 250 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "J0696", "description": "CEFTRIAXONE SODIUM INJECTION", "negotiated_rates": [ { "provider_references": [ 28972186 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.56, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "JZ" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INJ, CEFTRIAXONE SODIUM, PER 250 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "J0696", "description": "CEFTRIAXONE SODIUM INJECTION", "negotiated_rates": [ { "provider_references": [ 29033871 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 10.56, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INJ, DEXAMETHASONE SODIUM PHOS, 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "J1100", "description": "DEXAMETHASONE SODIUM PHOS", "negotiated_rates": [ { "provider_references": [ 28972186 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2.38, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "JW" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INJ, KETOROLAC TROMETHAMINE, PER 15 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "J1885", "description": "KETOROLAC TROMETHAMINE INJ", "negotiated_rates": [ { "provider_references": [ 29032990 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 39.65, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "JZ" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR INJ, TRIAMCINOLONE ACETONIDE, NOS, 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2023", "billing_code": "J3301", "description": "TRIAMCINOLONE ACETONIDE INJ", "negotiated_rates": [ { "provider_references": [ 29032990 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 29.14, "expiration_date": "2026-12-31", "service_code": [ "11" ], "billing_class": "professional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "PR LIGHTWEIGHT WHEELCHAIR", "billing_code_type": "HCPCS", "billing_code_type_version": "2007", "billing_code": "K0003", "description": "LIGHTWEIGHT WHEELCHAIR", "negotiated_rates": [ { "provider_references": [ 29065951 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 229.7, "expiration_date": "2026-12-31", "service_code": [ "12" ], "billing_class": "professional", "setting": "outpatient", "billing_code_modifier": [ "RR", "KX" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAB SERVICES", "billing_code_type": "RC", "billing_code_type_version": "NA", "billing_code": "0301", "description": "LABORATORY-CHEMISTRY", "negotiated_rates": [ { "provider_references": [ 29064810 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 124.61, "expiration_date": "2026-12-31", "service_code": [ "35" ], "billing_class": "institutional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAB SERVICES", "billing_code_type": "RC", "billing_code_type_version": "NA", "billing_code": "0301", "description": "LABORATORY-CHEMISTRY", "negotiated_rates": [ { "provider_references": [ 29064810 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 182.46, "expiration_date": "2026-12-31", "service_code": [ "35" ], "billing_class": "institutional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMAGING SERVICES", "billing_code_type": "RC", "billing_code_type_version": "NA", "billing_code": "0320", "description": "RADIOLOGY-DIAGNOSTIC-GENERAL", "negotiated_rates": [ { "provider_references": [ 29064800 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 656.08, "expiration_date": "2026-12-31", "service_code": [ "35" ], "billing_class": "institutional", "setting": "outpatient", "billing_code_modifier": [ "TC" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMAGING SERVICES", "billing_code_type": "RC", "billing_code_type_version": "NA", "billing_code": "0320", "description": "RADIOLOGY-DIAGNOSTIC-GENERAL", "negotiated_rates": [ { "provider_references": [ 29064791 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 721.65, "expiration_date": "2026-12-31", "service_code": [ "35" ], "billing_class": "institutional", "setting": "outpatient", "billing_code_modifier": [ "LT" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMAGING SERVICES", "billing_code_type": "RC", "billing_code_type_version": "NA", "billing_code": "0320", "description": "RADIOLOGY-DIAGNOSTIC-GENERAL", "negotiated_rates": [ { "provider_references": [ 29064799 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 730.32, "expiration_date": "2026-12-31", "service_code": [ "35" ], "billing_class": "institutional", "setting": "outpatient", "billing_code_modifier": [ "LT" ] } ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMERGENCY SERVICES", "billing_code_type": "RC", "billing_code_type_version": "NA", "billing_code": "0456", "description": "EMERGENCY ROOM-URGENT CARE", "negotiated_rates": [ { "provider_references": [ 29064798 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 242.0, "expiration_date": "2026-12-31", "service_code": [ "35" ], "billing_class": "institutional", "setting": "outpatient" } ] } ] }, { "negotiation_arrangement": "ffs", "name": "OTHER", "billing_code_type": "RC", "billing_code_type_version": "NA", "billing_code": "0960", "description": "PROFESSIONAL FEES (SEE ALSO 097X AND 098X)-GENERAL", "negotiated_rates": [ { "provider_references": [ 29064798 ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 430.0, "expiration_date": "2026-12-31", "service_code": [ "35" ], "billing_class": "institutional", "setting": "outpatient" } ] } ] } ] }