{"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":336388866,"network_name":["CCI Individual Exchange Choice Network"],"provider_groups":[{"npi":[1346479169],"tin":{"type":"ein","value":"743238060","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":109.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[336388866]}]},
{"negotiation_arrangement":"ffs","name":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81412","description":"ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1958.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[336388866]}]},
{"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":"per diem","negotiated_rate":1500.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient","billing_code_modifier":["59"]}],"provider_references":[336388866]}]},
{"negotiation_arrangement":"ffs","name":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81420","description":"FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":607.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[336388866]}]},
{"negotiation_arrangement":"ffs","name":"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81422","description":"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":607.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[336388866]}]},
{"negotiation_arrangement":"ffs","name":"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":445.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[336388866]}]},
{"negotiation_arrangement":"ffs","name":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81443","description":"GENETIC TESTING FOR SEVERE INHERITED CONDITIONS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":1958.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[336388866]}]},
{"negotiation_arrangement":"ffs","name":"FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81243","description":"FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[336388866]}]}]}
