{"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":1822864627,"provider_groups":[{"npi":[1053338657],"tin":{"type":"ein","value":"043578088"}},{"npi":[1548203359],"tin":{"type":"ein","value":"043578088"}},{"npi":[1962728717],"tin":{"type":"ein","value":"043578088"}},{"npi":[1528020278],"tin":{"type":"ein","value":"061629483"}},{"npi":[1700809993],"tin":{"type":"ein","value":"061629483"}},{"npi":[1174818520],"tin":{"type":"ein","value":"061629483"}},{"npi":[1952345829],"tin":{"type":"ein","value":"043578088"}},{"npi":[1891730305],"tin":{"type":"ein","value":"043578088"}},{"npi":[1568403871],"tin":{"type":"ein","value":"061629483"}},{"npi":[1912975541],"tin":{"type":"ein","value":"043578088"}},{"npi":[1750482642],"tin":{"type":"ein","value":"043578088"}},{"npi":[1477829067],"tin":{"type":"ein","value":"043578088"}},{"npi":[1043311947],"tin":{"type":"ein","value":"043578088"}},{"npi":[1396788634],"tin":{"type":"ein","value":"043578088"}},{"npi":[1629008115],"tin":{"type":"ein","value":"043578088"}},{"npi":[1528020278],"tin":{"type":"ein","value":"061629483"}},{"npi":[1912975541],"tin":{"type":"ein","value":"043578088"}}]} ],"in_network": [ {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}, {"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":[1822864627]}]}]}