{"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":1512241612,"network_name":["CCI Commercial Choice Network"],"provider_groups":[{"npi":[1841375094],"tin":{"type":"ein","value":"911789357","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88262","description":"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81315","description":"PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":141.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88273","description":"Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Flow cytometry, interpretation; 16 or more markers","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88189","description":"Flow cytometry, interpretation; 16 or more markers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics and molecular cytogenetics, interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88291","description":"Cytogenetics and molecular cytogenetics, interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88184","description":"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81245","description":"FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":130.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88263","description":"Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":175.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81275","description":"KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":209.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Molecular pathology procedure; physician interpretation and report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0452","description":"Molecular pathology procedure; physician interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81310","description":"NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Molecular cytogenetics; DNA probe, each (eg, FISH)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88271","description":"Molecular cytogenetics; DNA probe, each (eg, FISH)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81207","description":"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":103.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture for neoplastic disorders; bone marrow, blood cells","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88237","description":"Tissue culture for neoplastic disorders; bone marrow, blood cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":147.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81210","description":"BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":229.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted molecular pathology procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81479","description":"Unlisted molecular pathology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":596.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88185","description":"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis; count 5 cells, 1 karyotype, with banding","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88261","description":"Chromosome analysis; count 5 cells, 1 karyotype, with banding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":206.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis; additional cells counted, each study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88285","description":"Chromosome analysis; additional cells counted, each study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis; analyze 20-25 cells","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88264","description":"Chromosome analysis; analyze 20-25 cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81404","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":272.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Flow cytometry, interpretation; 9 to 15 markers","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88188","description":"Flow cytometry, interpretation; 9 to 15 markers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":78.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88275","description":"Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Flow cytometry, interpretation; 2 to 8 markers","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88187","description":"Flow cytometry, interpretation; 2 to 8 markers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3 Molecular pathology procedure, Level 3 (eg, 10 SNPs, 2-10 methylated variants, or 2-10 somatic variant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81402","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 3 Molecular pathology procedure, Level 3 (eg, 10 SNPs, 2-10 methylated variants, or 2-10 somatic variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81270","description":"JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis; additional karyotypes, each study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88280","description":"Chromosome analysis; additional karyotypes, each study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81206","description":"BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":123.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":694.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81301","description":"MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":283.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81261","description":"IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]},
{"negotiation_arrangement":"ffs","name":"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81235","description":"EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":285.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1512241612]}]}]}
