{"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":906985859,"network_name":["HMO Prime Network"],"provider_groups":[{"npi":[1851717383],"tin":{"type":"ein","value":"275370037","business_name":"No business name found"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":3900.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRS AID ACL RPR/AGMNTJ","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29888","description":"ARTHRS AID ACL RPR/AGMNTJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":5700.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG SYNVCT MAJ","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29876","description":"ARTHRS KNEE SURG SYNVCT MAJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; hemiarthroplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23470","description":"Arthroplasty, glenohumeral joint; hemiarthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":11000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; repair of SLAP lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29807","description":"Arthroscopy, shoulder, surgical; repair of SLAP lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":3900.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27130","description":"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":12250.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"SHO ARTHRS SRG CAPSULORRAPHY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29806","description":"SHO ARTHRS SRG CAPSULORRAPHY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":3900.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29823","description":"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":3900.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SRG MNISECTMY M L","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29880","description":"ARTHRS KNE SRG MNISECTMY M L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRS KNE SRG MNISECTMY M/L","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29881","description":"ARTHRS KNE SRG MNISECTMY M/L","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"ARTHRS KNEE SURG DBRDMT/SHVG","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29877","description":"ARTHRS KNEE SURG DBRDMT/SHVG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":2000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":3500.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]},
{"negotiation_arrangement":"ffs","name":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23472","description":"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":11000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[906985859]}]}]}