{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                           
{"provider_group_id":1454230452,"network_name":["CCI Individual Exchange Choice Network"],"provider_groups":[{"npi":[1720160385],"tin":{"type":"ein","value":"510600729","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4358","description":"Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":6.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; STRAIT TIP EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4351","description":"INTERMIT URIN CATH; STRAIT TIP EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4409","description":"Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":7.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter, Foley type, 2-way, all silicone, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4344","description":"Indwelling catheter, Foley type, 2-way, all silicone, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":13.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Male external catheter, with or without adhesive, disposable, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4349","description":"Male external catheter, with or without adhesive, disposable, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"INTERMIT URIN CATH; COUDE TIP EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352","description":"INTERMIT URIN CATH; COUDE TIP EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":5.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier; solid, 4 x 4 or equivalent; each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4362","description":"Skin barrier; solid, 4 x 4 or equivalent; each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":4.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4357","description":"Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":8.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive remover, wipes, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4456","description":"Adhesive remover, wipes, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Lubricant, per oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4402","description":"Lubricant, per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch, drainable; for use on barrier with flange (2-piece system), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5063","description":"Ostomy pouch, drainable; for use on barrier with flange (2-piece system), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":3.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent urinary catheter, with insertion supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4353","description":"Intermittent urinary catheter, with insertion supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":6.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1454230452]}]}]}
