{"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":1274652903,"network_name":["CCI Commercial Choice Network"],"provider_groups":[{"npi":[1710324363],"tin":{"type":"ein","value":"271028857","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4595","description":"Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":19.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1274652903]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stimulator, electronic shock unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745","description":"Neuromuscular stimulator, electronic shock unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":500.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1274652903]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stimulator, electronic shock unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0745","description":"Neuromuscular stimulator, electronic shock unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":63.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["RR"]}],"provider_references":[1274652903]}]},
{"negotiation_arrangement":"ffs","name":"Form-fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0731","description":"Form-fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":200.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1274652903]}]}]}
