{"reporting_entity_name": "Connecticare_CCI_COM","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-07-22","version": "1.0.0","provider_references": [ {"provider_group_id":946424679,"provider_groups":[{"npi":[1083298087],"tin":{"type":"ein","value":"060870990"}},{"npi":[1194475731],"tin":{"type":"ein","value":"060870990"}},{"npi":[1003841321],"tin":{"type":"ein","value":"060870990"}},{"npi":[1285218503],"tin":{"type":"ein","value":"060870990"}},{"npi":[1285130112],"tin":{"type":"ein","value":"060870990"}},{"npi":[1902269731],"tin":{"type":"ein","value":"060870990"}},{"npi":[1194392894],"tin":{"type":"ein","value":"060870990"}},{"npi":[1619315991],"tin":{"type":"ein","value":"060870990"}},{"npi":[1033341664],"tin":{"type":"ein","value":"060870990"}},{"npi":[1548483902],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1518955517],"tin":{"type":"ein","value":"060870990"}},{"npi":[1801922653],"tin":{"type":"ein","value":"060870990"}},{"npi":[1366425423],"tin":{"type":"ein","value":"060870990"}},{"npi":[1962814996],"tin":{"type":"ein","value":"060870990"}},{"npi":[1790949774],"tin":{"type":"ein","value":"060870990"}},{"npi":[1710911722],"tin":{"type":"ein","value":"060870990"}},{"npi":[1851520712],"tin":{"type":"ein","value":"060870990"}},{"npi":[1629338728],"tin":{"type":"ein","value":"060870990"}},{"npi":[1598384240],"tin":{"type":"ein","value":"060870990"}},{"npi":[1346805173],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750680153],"tin":{"type":"ein","value":"060870990"}},{"npi":[1700126729],"tin":{"type":"ein","value":"060870990"}},{"npi":[1396398251],"tin":{"type":"ein","value":"060870990"}},{"npi":[1699751099],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750532834],"tin":{"type":"ein","value":"060870990"}},{"npi":[1326729146],"tin":{"type":"ein","value":"060870990"}},{"npi":[1366964173],"tin":{"type":"ein","value":"060870990"}},{"npi":[1831354133],"tin":{"type":"ein","value":"060870990"}},{"npi":[1356654529],"tin":{"type":"ein","value":"060870990"}},{"npi":[1134189707],"tin":{"type":"ein","value":"060870990"}},{"npi":[1730157975],"tin":{"type":"ein","value":"060870990"}},{"npi":[1790956803],"tin":{"type":"ein","value":"060870990"}},{"npi":[1477551034],"tin":{"type":"ein","value":"060870990"}},{"npi":[1386209237],"tin":{"type":"ein","value":"060870990"}},{"npi":[1396852877],"tin":{"type":"ein","value":"060870990"}},{"npi":[1093553653],"tin":{"type":"ein","value":"060870990"}},{"npi":[1780309872],"tin":{"type":"ein","value":"060870990"}},{"npi":[1720584667],"tin":{"type":"ein","value":"060870990"}},{"npi":[1477955615],"tin":{"type":"ein","value":"060870990"}},{"npi":[1679959530],"tin":{"type":"ein","value":"060870990"}},{"npi":[1093553653],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992787287],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750197125],"tin":{"type":"ein","value":"060870990"}},{"npi":[1760684864],"tin":{"type":"ein","value":"060870990"}},{"npi":[1194392894],"tin":{"type":"ein","value":"060870990"}},{"npi":[1487881371],"tin":{"type":"ein","value":"060870990"}},{"npi":[1083298087],"tin":{"type":"ein","value":"060870990"}},{"npi":[1427218262],"tin":{"type":"ein","value":"060870990"}},{"npi":[1831250612],"tin":{"type":"ein","value":"060870990"}},{"npi":[1245734219],"tin":{"type":"ein","value":"060870990"}},{"npi":[1578958005],"tin":{"type":"ein","value":"060870990"}},{"npi":[1194158667],"tin":{"type":"ein","value":"060870990"}},{"npi":[1306023171],"tin":{"type":"ein","value":"060870990"}},{"npi":[1457935421],"tin":{"type":"ein","value":"060870990"}},{"npi":[1487238200],"tin":{"type":"ein","value":"060870990"}},{"npi":[1386209237],"tin":{"type":"ein","value":"060870990"}},{"npi":[1790949774],"tin":{"type":"ein","value":"060870990"}},{"npi":[1407029747],"tin":{"type":"ein","value":"060870990"}},{"npi":[1679959530],"tin":{"type":"ein","value":"060870990"}},{"npi":[1154614576],"tin":{"type":"ein","value":"060870990"}},{"npi":[1053415372],"tin":{"type":"ein","value":"060870990"}},{"npi":[1386387769],"tin":{"type":"ein","value":"060870990"}},{"npi":[1366718538],"tin":{"type":"ein","value":"060870990"}},{"npi":[1982791505],"tin":{"type":"ein","value":"060870990"}},{"npi":[1417232109],"tin":{"type":"ein","value":"060870990"}},{"npi":[1619363215],"tin":{"type":"ein","value":"060870990"}},{"npi":[1265109763],"tin":{"type":"ein","value":"060870990"}},{"npi":[1194392894],"tin":{"type":"ein","value":"060870990"}},{"npi":[1427511765],"tin":{"type":"ein","value":"060870990"}},{"npi":[1801239587],"tin":{"type":"ein","value":"060870990"}},{"npi":[1558653014],"tin":{"type":"ein","value":"060870990"}},{"npi":[1639303373],"tin":{"type":"ein","value":"060870990"}},{"npi":[1841941622],"tin":{"type":"ein","value":"060870990"}},{"npi":[1104601525],"tin":{"type":"ein","value":"060870990"}},{"npi":[1669932406],"tin":{"type":"ein","value":"060870990"}},{"npi":[1477172880],"tin":{"type":"ein","value":"060870990"}},{"npi":[1962814996],"tin":{"type":"ein","value":"060870990"}},{"npi":[1881268001],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750774220],"tin":{"type":"ein","value":"060870990"}},{"npi":[1588848766],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1598266975],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1518372333],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750680153],"tin":{"type":"ein","value":"060870990"}},{"npi":[1457935421],"tin":{"type":"ein","value":"060870990"}},{"npi":[1548825326],"tin":{"type":"ein","value":"060870990"}},{"npi":[1609058080],"tin":{"type":"ein","value":"060870990"}},{"npi":[1215592092],"tin":{"type":"ein","value":"060870990"}},{"npi":[1093009813],"tin":{"type":"ein","value":"060870990"}},{"npi":[1851520712],"tin":{"type":"ein","value":"060870990"}},{"npi":[1679959530],"tin":{"type":"ein","value":"060870990"}},{"npi":[1730969395],"tin":{"type":"ein","value":"060870990"}},{"npi":[1699751099],"tin":{"type":"ein","value":"060870990"}},{"npi":[1487881371],"tin":{"type":"ein","value":"060870990"}},{"npi":[1407984180],"tin":{"type":"ein","value":"060870990"}},{"npi":[1558653014],"tin":{"type":"ein","value":"060870990"}},{"npi":[1538732300],"tin":{"type":"ein","value":"060870990"}},{"npi":[1679556807],"tin":{"type":"ein","value":"060870990"}},{"npi":[1083355838],"tin":{"type":"ein","value":"060870990"}},{"npi":[1912419334],"tin":{"type":"ein","value":"060870990"}},{"npi":[1154614576],"tin":{"type":"ein","value":"060870990"}},{"npi":[1336584234],"tin":{"type":"ein","value":"060870990"}},{"npi":[1376682245],"tin":{"type":"ein","value":"060870990"}},{"npi":[1578537114],"tin":{"type":"ein","value":"060870990"}},{"npi":[1699189621],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1245906890],"tin":{"type":"ein","value":"060870990"}},{"npi":[1497104822],"tin":{"type":"ein","value":"060870990"}},{"npi":[1114637733],"tin":{"type":"ein","value":"060870990"}},{"npi":[1922443951],"tin":{"type":"ein","value":"060870990"}},{"npi":[1245734219],"tin":{"type":"ein","value":"060870990"}},{"npi":[1588848766],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1285218503],"tin":{"type":"ein","value":"060870990"}},{"npi":[1164917621],"tin":{"type":"ein","value":"060870990"}},{"npi":[1821023433],"tin":{"type":"ein","value":"060870990"}},{"npi":[1679199095],"tin":{"type":"ein","value":"060870990"}},{"npi":[1851520712],"tin":{"type":"ein","value":"060870990"}},{"npi":[1427304146],"tin":{"type":"ein","value":"060870990"}},{"npi":[1528030228],"tin":{"type":"ein","value":"060870990"}},{"npi":[1104370030],"tin":{"type":"ein","value":"060870990"}},{"npi":[1699415489],"tin":{"type":"ein","value":"060870990"}},{"npi":[1912714288],"tin":{"type":"ein","value":"060870990"}},{"npi":[1700453685],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1942283171],"tin":{"type":"ein","value":"060870990"}},{"npi":[1093798209],"tin":{"type":"ein","value":"060870990"}},{"npi":[1437358900],"tin":{"type":"ein","value":"060870990"}},{"npi":[1235561457],"tin":{"type":"ein","value":"060870990"}},{"npi":[1306023171],"tin":{"type":"ein","value":"060870990"}},{"npi":[1447878855],"tin":{"type":"ein","value":"060870990"}},{"npi":[1689789224],"tin":{"type":"ein","value":"060870990"}},{"npi":[1033897699],"tin":{"type":"ein","value":"060870990"}},{"npi":[1639444862],"tin":{"type":"ein","value":"060870990"}},{"npi":[1427304146],"tin":{"type":"ein","value":"060870990"}},{"npi":[1083233639],"tin":{"type":"ein","value":"060870990"}},{"npi":[1801922653],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932298098],"tin":{"type":"ein","value":"060870990"}},{"npi":[1518191667],"tin":{"type":"ein","value":"060870990"}},{"npi":[1073153680],"tin":{"type":"ein","value":"060870990"}},{"npi":[1538732300],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750197125],"tin":{"type":"ein","value":"060870990"}},{"npi":[1629469093],"tin":{"type":"ein","value":"060870990"}},{"npi":[1447405915],"tin":{"type":"ein","value":"060870990"}},{"npi":[1740819606],"tin":{"type":"ein","value":"060870990"}},{"npi":[1225855240],"tin":{"type":"ein","value":"060870990"}},{"npi":[1598266975],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1033458344],"tin":{"type":"ein","value":"060870990"}},{"npi":[1841874690],"tin":{"type":"ein","value":"060870990"}},{"npi":[1871527333],"tin":{"type":"ein","value":"060870990"}},{"npi":[1023751427],"tin":{"type":"ein","value":"060870990"}},{"npi":[1104000397],"tin":{"type":"ein","value":"060870990"}},{"npi":[1851339949],"tin":{"type":"ein","value":"060870990"}},{"npi":[1083104491],"tin":{"type":"ein","value":"060870990"}},{"npi":[1437358900],"tin":{"type":"ein","value":"060870990"}},{"npi":[1558621243],"tin":{"type":"ein","value":"060870990"}},{"npi":[1164917621],"tin":{"type":"ein","value":"060870990"}},{"npi":[1710960935],"tin":{"type":"ein","value":"060870990"}},{"npi":[1922280916],"tin":{"type":"ein","value":"060870990"}},{"npi":[1467461335],"tin":{"type":"ein","value":"060870990"}},{"npi":[1083104491],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1265299648],"tin":{"type":"ein","value":"060870990"}},{"npi":[1972775039],"tin":{"type":"ein","value":"060870990"}},{"npi":[1730157975],"tin":{"type":"ein","value":"060870990"}},{"npi":[1104225572],"tin":{"type":"ein","value":"060870990"}},{"npi":[1720491905],"tin":{"type":"ein","value":"060870990"}},{"npi":[1770226169],"tin":{"type":"ein","value":"060870990"}},{"npi":[1427304146],"tin":{"type":"ein","value":"060870990"}},{"npi":[1154614576],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750027066],"tin":{"type":"ein","value":"060870990"}},{"npi":[1538732300],"tin":{"type":"ein","value":"060870990"}},{"npi":[1548483902],"tin":{"type":"ein","value":"060870990"}},{"npi":[1417232109],"tin":{"type":"ein","value":"060870990"}},{"npi":[1689013815],"tin":{"type":"ein","value":"060870990"}},{"npi":[1407121759],"tin":{"type":"ein","value":"060870990"}},{"npi":[1194710269],"tin":{"type":"ein","value":"060870990"}},{"npi":[1447696844],"tin":{"type":"ein","value":"060870990"}},{"npi":[1427511765],"tin":{"type":"ein","value":"060870990"}},{"npi":[1003842865],"tin":{"type":"ein","value":"060870990"}},{"npi":[1467491548],"tin":{"type":"ein","value":"060870990"}},{"npi":[1285640284],"tin":{"type":"ein","value":"060870990"}},{"npi":[1952656639],"tin":{"type":"ein","value":"060870990"}},{"npi":[1912430638],"tin":{"type":"ein","value":"060870990"}},{"npi":[1255379392],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1699751099],"tin":{"type":"ein","value":"060870990"}},{"npi":[1114757317],"tin":{"type":"ein","value":"060870990"}},{"npi":[1851520712],"tin":{"type":"ein","value":"060870990"}},{"npi":[1780309872],"tin":{"type":"ein","value":"060870990"}},{"npi":[1235561457],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1831765429],"tin":{"type":"ein","value":"060870990"}},{"npi":[1831250612],"tin":{"type":"ein","value":"060870990"}},{"npi":[1417232109],"tin":{"type":"ein","value":"060870990"}},{"npi":[1801239587],"tin":{"type":"ein","value":"060870990"}},{"npi":[1659786135],"tin":{"type":"ein","value":"060870990"}},{"npi":[1952897233],"tin":{"type":"ein","value":"060870990"}},{"npi":[1518013358],"tin":{"type":"ein","value":"060870990"}},{"npi":[1942689682],"tin":{"type":"ein","value":"060870990"}},{"npi":[1033940515],"tin":{"type":"ein","value":"060870990"}},{"npi":[1801188040],"tin":{"type":"ein","value":"060870990"}},{"npi":[1700126729],"tin":{"type":"ein","value":"060870990"}},{"npi":[1083391650],"tin":{"type":"ein","value":"060870990"}},{"npi":[1285130112],"tin":{"type":"ein","value":"060870990"}},{"npi":[1780309872],"tin":{"type":"ein","value":"060870990"}},{"npi":[1316350473],"tin":{"type":"ein","value":"060870990"}},{"npi":[1457627531],"tin":{"type":"ein","value":"060870990"}},{"npi":[1699751099],"tin":{"type":"ein","value":"060870990"}},{"npi":[1588977649],"tin":{"type":"ein","value":"060870990"}},{"npi":[1265593313],"tin":{"type":"ein","value":"060870990"}},{"npi":[1376502914],"tin":{"type":"ein","value":"060870990"}},{"npi":[1114757317],"tin":{"type":"ein","value":"060870990"}},{"npi":[1578958005],"tin":{"type":"ein","value":"060870990"}},{"npi":[1417232109],"tin":{"type":"ein","value":"060870990"}},{"npi":[1821555129],"tin":{"type":"ein","value":"060870990"}},{"npi":[1730157975],"tin":{"type":"ein","value":"060870990"}},{"npi":[1477955615],"tin":{"type":"ein","value":"060870990"}},{"npi":[1689657819],"tin":{"type":"ein","value":"060870990"}},{"npi":[1538732300],"tin":{"type":"ein","value":"060870990"}},{"npi":[1003453556],"tin":{"type":"ein","value":"060870990"}},{"npi":[1922784560],"tin":{"type":"ein","value":"060870990"}},{"npi":[1578185534],"tin":{"type":"ein","value":"060870990"}},{"npi":[1659786135],"tin":{"type":"ein","value":"060870990"}},{"npi":[1861709669],"tin":{"type":"ein","value":"060870990"}},{"npi":[1902576739],"tin":{"type":"ein","value":"060870990"}},{"npi":[1710334420],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1104353481],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1336114974],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992334155],"tin":{"type":"ein","value":"060870990"}},{"npi":[1528124278],"tin":{"type":"ein","value":"060870990"}},{"npi":[1134195845],"tin":{"type":"ein","value":"060870990"}},{"npi":[1902921380],"tin":{"type":"ein","value":"060870990"}},{"npi":[1528059045],"tin":{"type":"ein","value":"060870990"}},{"npi":[1275518771],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1922784560],"tin":{"type":"ein","value":"060870990"}},{"npi":[1316593049],"tin":{"type":"ein","value":"060870990"}},{"npi":[1003842865],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1417974221],"tin":{"type":"ein","value":"060870990"}},{"npi":[1154614576],"tin":{"type":"ein","value":"060870990"}},{"npi":[1811961386],"tin":{"type":"ein","value":"060870990"}},{"npi":[1114694999],"tin":{"type":"ein","value":"060870990"}},{"npi":[1346506482],"tin":{"type":"ein","value":"060870990"}},{"npi":[1356654529],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1518372333],"tin":{"type":"ein","value":"060870990"}},{"npi":[1235561457],"tin":{"type":"ein","value":"060870990"}},{"npi":[1679005763],"tin":{"type":"ein","value":"060870990"}},{"npi":[1396852877],"tin":{"type":"ein","value":"060870990"}},{"npi":[1427599349],"tin":{"type":"ein","value":"060870990"}},{"npi":[1942439740],"tin":{"type":"ein","value":"060870990"}},{"npi":[1245906890],"tin":{"type":"ein","value":"060870990"}},{"npi":[1093330961],"tin":{"type":"ein","value":"060870990"}},{"npi":[1437260858],"tin":{"type":"ein","value":"060870990"}},{"npi":[1326729146],"tin":{"type":"ein","value":"060870990"}},{"npi":[1083355838],"tin":{"type":"ein","value":"060870990"}},{"npi":[1245906890],"tin":{"type":"ein","value":"060870990"}},{"npi":[1912108994],"tin":{"type":"ein","value":"060870990"}},{"npi":[1518372333],"tin":{"type":"ein","value":"060870990"}},{"npi":[1841283736],"tin":{"type":"ein","value":"060870990"}},{"npi":[1245906890],"tin":{"type":"ein","value":"060870990"}},{"npi":[1891836110],"tin":{"type":"ein","value":"060870990"}},{"npi":[1538278726],"tin":{"type":"ein","value":"060870990"}},{"npi":[1285975722],"tin":{"type":"ein","value":"060870990"}},{"npi":[1770332033],"tin":{"type":"ein","value":"060870990"}},{"npi":[1568408433],"tin":{"type":"ein","value":"060870990"}},{"npi":[1972730653],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750680153],"tin":{"type":"ein","value":"060870990"}},{"npi":[1952400566],"tin":{"type":"ein","value":"060870990"}},{"npi":[1154778512],"tin":{"type":"ein","value":"060870990"}},{"npi":[1518492966],"tin":{"type":"ein","value":"060870990"}},{"npi":[1578185534],"tin":{"type":"ein","value":"060870990"}},{"npi":[1104225572],"tin":{"type":"ein","value":"060870990"}},{"npi":[1124411681],"tin":{"type":"ein","value":"060870990"}},{"npi":[1760669535],"tin":{"type":"ein","value":"060870990"}},{"npi":[1477878700],"tin":{"type":"ein","value":"060870990"}},{"npi":[1508495904],"tin":{"type":"ein","value":"060870990"}},{"npi":[1487881371],"tin":{"type":"ein","value":"060870990"}},{"npi":[1003841321],"tin":{"type":"ein","value":"060870990"}},{"npi":[1376502914],"tin":{"type":"ein","value":"060870990"}},{"npi":[1710561311],"tin":{"type":"ein","value":"060870990"}},{"npi":[1083391650],"tin":{"type":"ein","value":"060870990"}},{"npi":[1396398251],"tin":{"type":"ein","value":"060870990"}},{"npi":[1154614576],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750532834],"tin":{"type":"ein","value":"060870990"}},{"npi":[1053415372],"tin":{"type":"ein","value":"060870990"}},{"npi":[1679199095],"tin":{"type":"ein","value":"060870990"}},{"npi":[1982853263],"tin":{"type":"ein","value":"060870990"}},{"npi":[1699729475],"tin":{"type":"ein","value":"060870990"}},{"npi":[1356349997],"tin":{"type":"ein","value":"060870990"}},{"npi":[1285975722],"tin":{"type":"ein","value":"060870990"}},{"npi":[1750663274],"tin":{"type":"ein","value":"060870990"}},{"npi":[1053310292],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1174970925],"tin":{"type":"ein","value":"060870990"}},{"npi":[1952400566],"tin":{"type":"ein","value":"060870990"}},{"npi":[1225855240],"tin":{"type":"ein","value":"060870990"}},{"npi":[1396232922],"tin":{"type":"ein","value":"060870990"}},{"npi":[1932913480],"tin":{"type":"ein","value":"060870990"}},{"npi":[1265299648],"tin":{"type":"ein","value":"060870990"}},{"npi":[1245803519],"tin":{"type":"ein","value":"060870990"}},{"npi":[1760465991],"tin":{"type":"ein","value":"060870990"}},{"npi":[1134195845],"tin":{"type":"ein","value":"060870990"}},{"npi":[1134189707],"tin":{"type":"ein","value":"060870990"}},{"npi":[1992461354],"tin":{"type":"ein","value":"060870990"}},{"npi":[1528124278],"tin":{"type":"ein","value":"060870990"}},{"npi":[1801239587],"tin":{"type":"ein","value":"060870990"}},{"npi":[1427614999],"tin":{"type":"ein","value":"060870990"}},{"npi":[1780309872],"tin":{"type":"ein","value":"060870990"}},{"npi":[1831250612],"tin":{"type":"ein","value":"060870990"}},{"npi":[1215379128],"tin":{"type":"ein","value":"060870990"}},{"npi":[1578148268],"tin":{"type":"ein","value":"060870990"}},{"npi":[1558388090],"tin":{"type":"ein","value":"060870990"}},{"npi":[1518013358],"tin":{"type":"ein","value":"060870990"}},{"npi":[1982102083],"tin":{"type":"ein","value":"060870990"}},{"npi":[1194475731],"tin":{"type":"ein","value":"060870990"}},{"npi":[1194392894],"tin":{"type":"ein","value":"060870990"}},{"npi":[1093392862],"tin":{"type":"ein","value":"060870990"}},{"npi":[1730157975],"tin":{"type":"ein","value":"060870990"}}]} ],"in_network": [ {"negotiation_arrangement":"ffs","name":"Unlisted craniofacial and maxillofacial procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21299","description":"Unlisted craniofacial and maxillofacial procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, rectum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45999","description":"Unlisted procedure, rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, forearm or wrist","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25999","description":"Unlisted procedure, forearm or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, lacrimal system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68899","description":"Unlisted procedure, lacrimal system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, spine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22899","description":"Unlisted procedure, spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, cardiac surgery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33999","description":"Unlisted procedure, cardiac surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted neurological or neuromuscular diagnostic procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95999","description":"Unlisted neurological or neuromuscular diagnostic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted musculoskeletal procedure, head","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21499","description":"Unlisted musculoskeletal procedure, head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, maternity care and delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59898","description":"Unlisted laparoscopy procedure, maternity care and delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29999","description":"Unlisted procedure, arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, humerus or elbow","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24999","description":"Unlisted procedure, humerus or elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Not otherwise classified, single vision lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2199","description":"Not otherwise classified, single vision lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, pelvis or hip joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27299","description":"Unlisted procedure, pelvis or hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, anus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46999","description":"Unlisted procedure, anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"SARSCV2 VAC 30MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91320","description":"SARSCV2 VAC 30MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":131.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, breast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19499","description":"Unlisted procedure, breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, appendix","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44979","description":"Unlisted laparoscopy procedure, appendix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, middle ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69799","description":"Unlisted procedure, middle ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, Meckel's diverticulum and the mesentery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44899","description":"Unlisted procedure, Meckel's diverticulum and the mesentery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted fluoroscopic procedure (eg, diagnostic, interventional)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76496","description":"Unlisted fluoroscopic procedure (eg, diagnostic, interventional)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, testis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54699","description":"Unlisted laparoscopy procedure, testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted otorhinolaryngological service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92700","description":"Unlisted otorhinolaryngological service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted vaccine/toxoid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90749","description":"Unlisted vaccine/toxoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, trachea, bronchi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31899","description":"Unlisted procedure, trachea, bronchi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted miscellaneous procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78999","description":"Unlisted miscellaneous procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, shoulder","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23929","description":"Unlisted procedure, shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, female genital system (nonobstetrical)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58999","description":"Unlisted procedure, female genital system (nonobstetrical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Tocilizumab for COVID 19","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0249","description":"Tocilizumab for COVID 19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted microbiology procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87999","description":"Unlisted microbiology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, casting or strapping","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29799","description":"Unlisted procedure, casting or strapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"ADM PV FLU HB A/O COVID-19 VAC H;","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0201","description":"ADM PV FLU HB A/O COVID-19 VAC H;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted cytopathology procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88199","description":"Unlisted cytopathology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted musculoskeletal procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78399","description":"Unlisted musculoskeletal procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96379","description":"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"ADMN SARSCOV2 VAC 1/ONLY CMP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90480","description":"ADMN SARSCOV2 VAC 1/ONLY CMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, orbit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67599","description":"Unlisted procedure, orbit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted maxillofacial prosthetic procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21089","description":"Unlisted maxillofacial prosthetic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted diagnostic radiographic procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76499","description":"Unlisted diagnostic radiographic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, bladder","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51999","description":"Unlisted laparoscopy procedure, bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, liver","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47399","description":"Unlisted procedure, liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, male genital system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55899","description":"Unlisted procedure, male genital system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spleen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38129","description":"Unlisted laparoscopy procedure, spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, anterior segment of eye","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66999","description":"Unlisted procedure, anterior segment of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted diagnostic gastroenterology procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91299","description":"Unlisted diagnostic gastroenterology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted hysteroscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58579","description":"Unlisted hysteroscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, conjunctiva","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68399","description":"Unlisted procedure, conjunctiva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43659","description":"Unlisted laparoscopy procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, leg or ankle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27899","description":"Unlisted procedure, leg or ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, intestine (except rectum)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44238","description":"Unlisted laparoscopy procedure, intestine (except rectum)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, skin, mucous membrane and subcutaneous tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17999","description":"Unlisted procedure, skin, mucous membrane and subcutaneous tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49999","description":"Unlisted procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, hands or fingers","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26989","description":"Unlisted procedure, hands or fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, mediastinum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"39499","description":"Unlisted procedure, mediastinum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Radiopharmaceutical therapy, unlisted procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"79999","description":"Radiopharmaceutical therapy, unlisted procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted genitourinary procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78799","description":"Unlisted genitourinary procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, hemic or lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38999","description":"Unlisted procedure, hemic or lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, palate, uvula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42299","description":"Unlisted procedure, palate, uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, vascular injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36299","description":"Unlisted procedure, vascular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted transfusion medicine procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86999","description":"Unlisted transfusion medicine procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, stomach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43999","description":"Unlisted procedure, stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 3MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91318","description":"SARSCOV2 VAC 3MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, tongue, floor of mouth","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41599","description":"Unlisted procedure, tongue, floor of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, therapeutic radiology treatment management","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77499","description":"Unlisted procedure, therapeutic radiology treatment management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted in vivo (eg, transcutaneous) laboratory service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88749","description":"Unlisted in vivo (eg, transcutaneous) laboratory service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43499","description":"Unlisted procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, femur or knee","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27599","description":"Unlisted procedure, femur or knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, clinical brachytherapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77799","description":"Unlisted procedure, clinical brachytherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, maternity care and delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59899","description":"Unlisted procedure, maternity care and delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, inner ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69949","description":"Unlisted procedure, inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, lungs and pleura","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32999","description":"Unlisted procedure, lungs and pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, foot or toes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28899","description":"Unlisted procedure, foot or toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, eyelids","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67999","description":"Unlisted procedure, eyelids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 2nd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0250","description":"Adm Tocilizu COVID-19 2nd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":477.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted hematology and coagulation procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85999","description":"Unlisted hematology and coagulation procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, posterior segment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67299","description":"Unlisted procedure, posterior segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted allergy/clinical immunologic service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95199","description":"Unlisted allergy/clinical immunologic service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted preventive medicine service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99429","description":"Unlisted preventive medicine service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, lymphatic system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38589","description":"Unlisted laparoscopy procedure, lymphatic system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, salivary glands or ducts","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42699","description":"Unlisted procedure, salivary glands or ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted ophthalmological service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92499","description":"Unlisted ophthalmological service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47999","description":"Unlisted procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, diaphragm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"39599","description":"Unlisted procedure, diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, neck or thorax","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21899","description":"Unlisted procedure, neck or thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 25 MCG/.25ML IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91321","description":"SARSCOV2 VAC 25 MCG/.25ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49659","description":"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, larynx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31599","description":"Unlisted procedure, larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopic procedure, liver","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47379","description":"Unlisted laparoscopic procedure, liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted necropsy (autopsy) procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88099","description":"Unlisted necropsy (autopsy) procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55559","description":"Unlisted laparoscopy procedure, spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted cardiovascular procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78499","description":"Unlisted cardiovascular procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"SARSCV2 VAC 10MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91319","description":"SARSCV2 VAC 10MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted dialysis procedure, inpatient or outpatient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90999","description":"Unlisted dialysis procedure, inpatient or outpatient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted nervous system procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78699","description":"Unlisted nervous system procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, pancreas","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"48999","description":"Unlisted procedure, pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted urinalysis procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81099","description":"Unlisted urinalysis procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, accessory sinuses","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31299","description":"Unlisted procedure, accessory sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted miscellaneous pathology test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89240","description":"Unlisted miscellaneous pathology test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted evaluation and management service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99499","description":"Unlisted evaluation and management service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, colon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45399","description":"Unlisted procedure, colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted special dermatological service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96999","description":"Unlisted special dermatological service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted cardiovascular service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93799","description":"Unlisted cardiovascular service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, abdomen, musculoskeletal system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22999","description":"Unlisted procedure, abdomen, musculoskeletal system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49329","description":"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, renal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50549","description":"Unlisted laparoscopy procedure, renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, vascular surgery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37799","description":"Unlisted procedure, vascular surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78199","description":"Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, vestibule of mouth","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40899","description":"Unlisted procedure, vestibule of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, musculoskeletal system, general","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20999","description":"Unlisted procedure, musculoskeletal system, general","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted pulmonary service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94799","description":"Unlisted pulmonary service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 50 MCG/0.5ML IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91322","description":"SARSCOV2 VAC 50 MCG/0.5ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, therapeutic radiology clinical treatment planning","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77299","description":"Unlisted procedure, therapeutic radiology clinical treatment planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, endocrine system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60659","description":"Unlisted laparoscopy procedure, endocrine system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, temporal bone, middle fossa approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69979","description":"Unlisted procedure, temporal bone, middle fossa approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 1st","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0249","description":"Adm Tocilizu COVID-19 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":477.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted computed tomography procedure (eg, diagnostic, interventional)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76497","description":"Unlisted computed tomography procedure (eg, diagnostic, interventional)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted fetal invasive procedure, including ultrasound guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59897","description":"Unlisted fetal invasive procedure, including ultrasound guidance, when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, esophagus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43289","description":"Unlisted laparoscopy procedure, esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, small intestine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44799","description":"Unlisted procedure, small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, excision pressure ulcer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15999","description":"Unlisted procedure, excision pressure ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted vascular endoscopy procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37501","description":"Unlisted vascular endoscopy procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, urinary system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53899","description":"Unlisted procedure, urinary system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, uterus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58578","description":"Unlisted laparoscopy procedure, uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, nervous system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64999","description":"Unlisted procedure, nervous system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, endocrine system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60699","description":"Unlisted procedure, endocrine system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, pharynx, adenoids, or tonsils","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42999","description":"Unlisted procedure, pharynx, adenoids, or tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, extraocular muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67399","description":"Unlisted procedure, extraocular muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, oviduct, ovary","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58679","description":"Unlisted laparoscopy procedure, oviduct, ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, rectum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45499","description":"Unlisted laparoscopy procedure, rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted laparoscopy procedure, biliary tract","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47579","description":"Unlisted laparoscopy procedure, biliary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77399","description":"Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Vision item or service, miscellaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2799","description":"Vision item or service, miscellaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, lips","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40799","description":"Unlisted procedure, lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, nose","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30999","description":"Unlisted procedure, nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted procedure, external ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69399","description":"Unlisted procedure, external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}, {"negotiation_arrangement":"ffs","name":"Unlisted endocrine procedure, diagnostic nuclear medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78099","description":"Unlisted endocrine procedure, diagnostic nuclear medicine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[946424679]}]}]}