{"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":2103552460,"network_name":["CCI Individual Exchange Choice Network"],"provider_groups":[{"npi":[1265490940],"tin":{"type":"ein","value":"060646616","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Hospice Service - Inpatient Respite Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0655","description":"Hospice Service - Inpatient Respite Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":196.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Skilled Nursing - Hourly Charge","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0552","description":"Skilled Nursing - Hourly Charge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":51.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Respite Care - Hourly Charge/Home Health Aide/Homemaker","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0662","description":"Respite Care - Hourly Charge/Home Health Aide/Homemaker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":17.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Skilled Nursing - Other Skilled Nursing","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0559","description":"Skilled Nursing - Other Skilled Nursing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":44.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Speech-Language Pathology - Visit Charge","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0441","description":"Speech-Language Pathology - Visit Charge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":109.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - General Inpatient Care (Non-Respite)","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0656","description":"Hospice Service - General Inpatient Care (Non-Respite)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":862.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Medical Social Services - Visit Charge","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0561","description":"Medical Social Services - Visit Charge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":100.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Home Health Aide (Home Health) - Hourly Charge","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0572","description":"Home Health Aide (Home Health) - Hourly Charge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":30.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Skilled Nursing - Visit Charge","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0551","description":"Skilled Nursing - Visit Charge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90662","description":"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","description":"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90658","description":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"H1N1 immunization administration (","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90470","description":"H1N1 immunization administration (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90473","description":"Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90656","description":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90657","description":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90655","description":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90660","description":"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - Continuous Home Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0652","description":"Hospice Service - Continuous Home Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1082.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Physical Therapy - Visit Charge","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0421","description":"Physical Therapy - Visit Charge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":109.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Hospice Service - Routine Home Care","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0651","description":"Hospice Service - Routine Home Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":193.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Occupational Therapy - Visit Charge","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0431","description":"Occupational Therapy - Visit Charge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":109.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]},
{"negotiation_arrangement":"ffs","name":"Home IV Therapy Services - Other IV Therapy Services","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0649","description":"Home IV Therapy Services - Other IV Therapy Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":78.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient"}],"provider_references":[2103552460]}]}]}
