{"reporting_entity_name": "HealthSparq", "reporting_entity_type": "Third Party","last_updated_on":"2022-07-01","version":"1.0.0","provider_references":[{"provider_group_id":721,"provider_groups":[{"npi":[1912325432],"tin":{"type":"ein","value":"470376487"}}]}], "in_network":[{"negotiation_arrangement": "ffs","name": "periodi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0120","description": "Periodic Oral Evaluation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 38.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "limited","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0140","description": "Limited Oral Evaluation - Problem Focused","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 62.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "oral ev","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0145","description": "Oral evaluation, pt < 3yrs","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 42.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "compreh","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0150","description": "Comprehensive Oral Evaluation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 64.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "detaile","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0160","description": "Detailed And Extensive Oral Evaluation - Problem-Focused, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 120.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "re-eval","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0170","description": "Re-Evaluation, Limited, Problem Focused","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 46.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "compreh","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0180","description": "Comprehensive Periodontal Evaluation - New Or Established Patient","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 114.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "screeni","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0190","description": "screening of a patient","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 29.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "assessm","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0191","description": "assessment of a patient","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 19.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intraor","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0210","description": "Intraoral - Complete Series (Including Bitewings)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 116.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intraor","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0220","description": "Intraoral - Periapical - First Film","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 23.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intraor","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0230","description": "Intraoral - Periapical - Each Additional Film","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 52.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intraor","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0240","description": "Intraoral - Occlusal Film","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 28.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "extraor","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0250","description": "Extraoral - First Film","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 24.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "extra-o","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0251","description": "extra-oral posterior dental radiographic image","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 24.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bitewin","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0270","description": "Bitewing - Single Film","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 23.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bitewin","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0272","description": "Bitewings - Two Films","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 35.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bitewin","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0273","description": "Bitewings - three films","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 43.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bitewin","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0274","description": "Bitewings - Four Films","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 51.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "vertica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0277","description": "Vertical Bitewings, 7-8 Films","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 125.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "other t","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0321","description": "Other Temporomandibular Joint Films, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 163.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tomogra","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0322","description": "Tomographic Survey","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 74.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "panoram","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0330","description": "Panoramic Film","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 130.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cephalo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0340","description": "Cephalometric Film","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 104.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "oral/fa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0350","description": "Oral/Facial Images (Includes Intra And Extraoral Images)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 43.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0364","description": "cone beam CT capture and interpretation with limited field of view v less than one whole jaw","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0365","description": "cone beam CT capture and interpretation with field of view of one full dental arch vmandible","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0366","description": "cone beam CT capture and interpretation with field of view of one full dental arch vmaxilla, with or without cranium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0367","description": "cone beam CT capture and interpretation with field of view of both jaws, with or without cranium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0368","description": "cone beam CT capture and interpretation for TMJ series including two or moreexposures","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxillo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0369","description": "maxillofacial MRI capture and interpretation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxillo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0370","description": "maxillofacial ultrasound capture and interpretation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "sialoen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0371","description": "sialoendoscopy capture and interpretation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0380","description": "cone beam CT image capture with limited field of view v less than one whole jaw","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0381","description": "cone beam CT image capture with field of view of one full dental arch v mandible","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0382","description": "cone beam CT image capture with field of view of one full dental arch v maxilla, with or without cranium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0383","description": "cone beam CT image capture with field of view of both jaws, with or without cranium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cone be","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0384","description": "cone beam CT image capture for TMJ series including two or more exposures","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxillo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0385","description": "maxillofacial MRI image capture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxillo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0386","description": "maxillofacial ultrasound image capture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interpr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0391","description": "interpretation of diagnostic image by a practitioner not associated with capture of theimage, including report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 111.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bacteri","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0415","description": "Bacteriologic Studies For Determination Of Pathologic Agents","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 19.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "viral c","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0416","description": "Viral culture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 18.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "collect","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0422","description": "collection and preparation of genetic sample material for laboratory analysis and report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 59.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "genetic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0423","description": "genetic test for susceptibility to disease - specimen analysis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 59.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "diag ts","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0431","description": "Diag tst detect mucos abnorm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 62.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pulp vi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0460","description": "Pulp Vitality Tests","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 47.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "diagnos","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0470","description": "Diagnostic Casts","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 95.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "accessi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0472","description": "Accession Of Tissue, Gross Examination, Prep And Transmission Of Written Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "accessi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0473","description": "Accession Of Tissue, Gross And Microscopic Examination, Prep And Transmission Of Written Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 110.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "accessi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0474","description": "Accession Of Tissue, Gross And Microscopic Exam, Includes Assessment Of Margins, Prep And Transmission Of Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 116.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "decalci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0475","description": "Decalcification procedure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "spec st","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0476","description": "Spec stains for microorganis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "spec st","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0477","description": "Spec stains not for microorg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immunoh","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0478","description": "Immunohistochemical stains","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tissue","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0479","description": "Tissue in-situ hybridization","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "process","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0480","description": "Processing And Interpretation Of Cytologic Smears, Including Preparation And Transmission Of Written Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "electro","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0481","description": "Electron microscopy diagnost","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "direct","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0482","description": "Direct immunofluorescence","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "indirec","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0483","description": "Indirect immunofluorescence","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "consult","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0484","description": "Consult slides prep elsewher","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "consult","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0485","description": "Consult inc prep of slides","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "accessi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0486","description": "Accession of brush biopsy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "other o","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0502","description": "Other Oral Pathology Procedures, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 91.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "antigen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0604","description": "antigen testing for a public health related pathogen, including coronavirus","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 37.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "antibod","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0605","description": "antibody testing for a public health related pathogen including coronavirus","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 47.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "molecul","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0606","description": "molecular testing for a public health related pathogen, including coronavirus","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 53.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D0999","description": "Unspecified Diagnostic Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 63.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prophyl","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1110","description": "Prophylaxis - Adult","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 68.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prophyl","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1120","description": "Prophylaxis - Child","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 50.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "topical","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1206","description": "Topical fluoride varnish","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 32.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "topical","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1208","description": "topical application of fluoride","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 28.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "nutriti","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1310","description": "Nutritional Counseling For Control Of Dental Disease","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 48.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tobacco","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1320","description": "Tobacco Counseling For The Control And Prevention Of Oral Disease","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 25.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "councel","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1321","description": "counceling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 25.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "oral hy","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1330","description": "Oral Hygiene Instructions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 47.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "sealant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1351","description": "Sealant - Per Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 41.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prevent","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1352","description": "preventive resin restoration in a moderate to high caries risk patient - permanent tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 41.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "sealant repa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1353","description": "sealant repair- per tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 20.65,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "space m","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1510","description": "Space Maintainer - Fixed - Unilateral","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 266.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "space m","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1516","description": "space maintainer - fixed - bilateral, maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 396.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "space m","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1517","description": "space maintainer - fixed - bilateral, mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 396.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "space m","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1526","description": "space maintainer - removable - bilateral, maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 325.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "space m","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1527","description": "space maintainer - removable - bilateral, mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 325.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "re-ceme","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1551","description": "re-cement or re-bond bilateral space maintainer - maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 62.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "re-ceme","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1552","description": "re-cement or re-bond bilateral space maintainer - mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 62.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "re-ceme","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1553","description": "re-cement or re-bond unilateral space maintainer - per quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1556","description": "removal of fixed unilateral space maintainer - per quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 55.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1557","description": "removal of fixed bilateral space maintainer - maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 55.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1558","description": "removal of fixed bilateral space maintainer - mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 55.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "distal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1575","description": "distal shoe space maintainer - fixed 0 unilateral","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 266.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Pfizer-","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1701","description": "Pfizer-BioNTech Covid-19 vaccine administration - first dose","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Pfizer-","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1702","description": "Pfizer-BioNTech Covid-19 vaccine administration - second dose","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Moderna","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1703","description": "Moderna Covid-19 vaccine administration - first dose","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Moderna","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1704","description": "Moderna Covid-19 vaccine administration - second dose","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Janssen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D1707","description": "Janssen Covid-19 vaccine administration","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "amalgam","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2140","description": "Amalgam - One Surface, Permanent","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 101.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "amalgam","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2150","description": "Amalgam - Two Surfaces, Permanent","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 123.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "amalgam","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2160","description": "Amalgam - Three Surfaces, Permanent","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 148.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "amalgam","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2161","description": "Amalgam - Four Or More Surfaces, Permanent","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 179.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2330","description": "Resin - One Surface, Anterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 119.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2331","description": "Resin - Two Surfaces, Anterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 148.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2332","description": "Resin - Three Surfaces, Anterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 187.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2335","description": "Resin - Four Or More Surfaces Or Involving Incisal Angle (Anterior)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 229.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin-b","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2390","description": "Resin-Based Composite Crown, Anterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 270.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin-b","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2391","description": "Resin-Based Composite - One Surface, Posterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 137.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin-b","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2392","description": "Resin-Based Composite - Two Surfaces, Posterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 178.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin-b","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2393","description": "Resin-Based Composite - Three Surfaces, Posterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 228.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin-b","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2394","description": "Resin-Based Composite - Four Or More Surfaces, Posterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 255.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "gold fo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2410","description": "Gold Foil - One Surface","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 72.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2510","description": "Inlay - Metallic - One Surface","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 377.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2520","description": "Inlay - Metallic - Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 601.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2530","description": "Inlay - Metallic - Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 668.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay m","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2542","description": "Onlay Metallic, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 375.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay-m","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2543","description": "Onlay-Metallic-Three Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 764.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay-m","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2544","description": "Onlay-Metallic-Four Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 890.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2610","description": "Inlay - Porcelain/Ceramic - One Surface","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 553.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2620","description": "Inlay - Porcelain/Ceramic - Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 725.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2630","description": "Inlay - Porcelain/Ceramic - Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 810.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2642","description": "Onlay - Porcelain/Ceramic - Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 830.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2643","description": "Onlay - Porcelain/Ceramic - Three Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 860.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2644","description": "Onlay - Porcelain/Ceramic - Four Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 920.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2650","description": "Inlay - Composite/Resin - One Surface","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 269.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2651","description": "Inlay - Composite/Resin - Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 202.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2652","description": "Inlay - Composite/Resin - Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 607.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2662","description": "Onlay - Composite/Resin - Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 607.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2663","description": "Onlay - Composite/Resin - Three Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 747.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2664","description": "Onlay - Composite/Resin - Four Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 846.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2710","description": "Crown - Resin (Laboratory)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 684.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown 3","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2712","description": "Crown 3/4 resin-based compos","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 746.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2720","description": "Crown - Resin With High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 723.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2721","description": "Crown - Resin With Predominantly Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 614.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2740","description": "Crown - Porcelain/Ceramic Substrate","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 913.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2750","description": "Crown - Porcelain Fused To High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 872.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2751","description": "Crown - Porcelain Fused To Predominantly Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 771.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2752","description": "Crown - Porcelain Fused To Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 803.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2753","description": "crown - porcelain fused to titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 771.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown,","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2780","description": "Crown, 3/4 Cast High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 884.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown,","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2781","description": "Crown, 3/4 Cast Predominately Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 619.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown,","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2782","description": "Crown, 3/4 Cast Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 746.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown,","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2783","description": "Crown, 3/4 Porcelain/Ceramic","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 855.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2790","description": "Crown - Full Cast High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 844.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2791","description": "Crown - Full Cast Predominantly Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 750.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2792","description": "Crown - Full Cast Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 805.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown-t","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2794","description": "Crown-titanium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 754.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "provisi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2799","description": "Provisional Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 288.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "recemen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2910","description": "Recement Inlay","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 78.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "recemen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2915","description": "Recement cast or prefab post","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 78.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "recemen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2920","description": "Recement Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 82.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reattac","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2921","description": "reattachment of tooth fragment, incisal edge or cusp","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 119.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefabr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2928","description": "prefabricated porcelain/ceramic crown - permanent tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 233.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefabr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2929","description": "prefabricated porcelain/ceramic crown v primary tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 233.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefabr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2930","description": "Prefabricated Stainless Steel Crown - Primary Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 207.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefabr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2931","description": "Prefabricated Stainless Steel Crown - Permanent Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 252.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefabr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2932","description": "Prefabricated Resin Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 233.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefabr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2933","description": "Prefabricated Stainless Steel Crown With Resin Window","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 271.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefab","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2934","description": "Prefab steel crown primary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 235.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "sedativ","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2940","description": "Sedative Filling","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 87.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interim","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2941","description": "interim therapeutic resoration - primary dentition","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 87.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "core bu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2950","description": "Core Buildup, Including Any Pins","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 226.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pin ret","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2951","description": "Pin Retention - Per Tooth, In Addition To Restoration","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 49.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cast po","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2952","description": "Cast Post And Core In Addition To Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 324.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "each ad","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2953","description": "Each Additional Cast Post, Same Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 25.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefabr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2954","description": "Prefabricated Post And Core In Addition To Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 275.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "post re","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2955","description": "Post Removal (Not In Conjunction With Endodontic Therapy)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 173.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "each ad","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2957","description": "Each Additional Prefabricated Post, Same Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 81.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "labial","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2960","description": "Labial Veneer (Laminate) - Chairside","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 430.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "labial","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2961","description": "Labial Veneer (Resin Laminate) - Laboratory","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 559.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "labial","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2962","description": "Labial Veneer (Porcelain Laminate) - Laboratory","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 962.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "add pro","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2971","description": "Add proc construct new crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 91.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "coping","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2975","description": "Coping","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 187.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown r","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2980","description": "Crown Repair, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 182.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay r","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2981","description": "inlay repair necessitated by restorative material failure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 182.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay r","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2982","description": "onlay repair necessitated by restorative material failure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 182.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "veneer","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2983","description": "veneer repair necessitated by restorative material failure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 182.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin i","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2990","description": "resin infiltration of incipient smooth surface lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 41.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D2999","description": "Unspecified Restorative Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 78.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pulp ca","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3110","description": "Pulp Cap - Direct (Excluding Final Restoration)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 79.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pulp ca","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3120","description": "Pulp Cap - Indirect (Excluding Final Restoration)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 61.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "therape","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3220","description": "Therapeutic Pulpotomy (Excluding Final Restoration)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 153.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "gross p","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3221","description": "Gross Pulpal Debridement, Primary And Permanent Teeth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 125.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "part pu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3222","description": "Part pulp for apexogenesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 153.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pulpal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3230","description": "Pulpal Therapy (Resorbable Filling) - Anterior, Primary Tooth (Excluding Final Restoration)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 148.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pulpal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3240","description": "Pulpal Therapy (Resorbable Filling) - Posterior, Primary Tooth (Excluding Final Restoration)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 183.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "root ca","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3310","description": "Root Canal Therapy - Anterior (Excluding Final Restoration)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 550.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "root ca","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3320","description": "Root Canal Therapy - Bicuspid (Excluding Final Restoration)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 651.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "root ca","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3330","description": "Root Canal Therapy - Molar (Excluding Final Restoration)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 846.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "treatme","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3331","description": "Treatment Of Root Canal Obstruction, Non-Surgical Access","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 134.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "incompl","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3332","description": "Incomplete Endodontic Therapy, Inoperable Or Fractured Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 270.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interna","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3333","description": "Internal Rooth Repair Of Performation Defects","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 264.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "retreat","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3346","description": "Retreatment Of Previous Root Canal Therapy - Anterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 688.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "retreat","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3347","description": "Retreatment Of Previous Root Canal Therapy - Bicuspid","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 765.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "retreat","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3348","description": "Retreatment Of Previous Root Canal Therapy - Molar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 954.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apexifi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3351","description": "Apexification/Recalcification - Initial Visit (Apical Closure/Calcific Repair Of Perforations, Root Resorption, Etc.)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 348.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apexifi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3352","description": "Apexification/Recalcification - Interim Medication Replacement","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 143.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pulpal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3355","description": "pulpal regeneration - initial visit","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 348.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pulpal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3356","description": "pulpal regeneration - interim medication replacement","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 143.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pulpal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3357","description": "pulpal regeneration - completino of treatment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 153.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apicoec","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3410","description": "Apicoectomy/Periradicular Surgery - Anterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 612.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apicoec","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3421","description": "Apicoectomy/Periradicular Surgery - Bicuspid (First Root)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 622.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apicoec","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3425","description": "Apicoectomy/Periradicular Surgery - Molar (First Root)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 744.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apicoec","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3426","description": "Apicoectomy/Periradicular Surgery (Each Additional Root)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 163.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone gr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3428","description": "bone graft in conjunction with periradicular surgery - per tooth, single","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1775.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone gr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3429","description": "bone graft in conjunction with periradicular surgery - each additional","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1775.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "retrogr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3430","description": "Retrograde Filling - Per Root","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 173.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "biologi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3431","description": "biologic marerials to aid in soft and osseous tissue regeneration in","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 677.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "guided","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3432","description": "guided tissue regeneration, resorbable barrier, per site, in conjunction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 580.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "root am","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3450","description": "Root Amputation - Per Root","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 414.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3471","description": "surgical repair of root resorption - anterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 612.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3472","description": "surgical repair of root resorption - premolar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 622.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3473","description": "surgical repair of root resorption - molar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 744.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3501","description": "surgical exposure of root surface without apicoectomy or repair of root resorption - anterior","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 367.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3502","description": "surgical exposure of root surface without apicoectomy or repair of root resorption - premolar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 367.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3503","description": "surgical exposure of root surface without apicoectomy or repair of root resorption - molar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 367.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3910","description": "Surgical Procedure For Isolation Of Tooth With Rubber Dam","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 54.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "hemisec","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3920","description": "Hemisection (Including Any Root Removal), Not Including Root Canal Therapy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 232.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "decoron","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3921","description": "decoronation or submergence of an erupted tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 232.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "canal p","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3950","description": "Canal Preparation And Fitting Of Preformed Dowel Or Post","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 118.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D3999","description": "Unspecified Endodontic Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 708.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "gingive","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4210","description": "Gingivectomy Or Gingivoplasty - Per Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 404.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "gingive","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4211","description": "Gingivectomy Or Gingivoplasty, Per Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 170.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "gingive","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4212","description": "gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 170.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ana cro","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4230","description": "Ana crown exp 4 or> per quad","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 489.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ana cro","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4231","description": "Ana crown exp 1-3 per quad","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 256.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "gingiva","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4240","description": "Gingival Flap Procedure, Including Root Planing - Per Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 601.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "gingiva","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4241","description": "Gingival Flap Procedure, Including Root Planing - One To Three Teeth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 382.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apicall","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4245","description": "Apically Positioned Flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 399.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "clinica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4249","description": "Clinical Crown Lengthening - Hard Tissue","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 638.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "osseous","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4260","description": "Osseous Surgery (Including Flap Entry And Closure) - Per Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 972.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "osseous","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4261","description": "Osseous Surgery (Including Flap Entry And Closure) - 1 - 3 Teeth, Per","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 671.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone re","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4263","description": "Bone Replacement Graft - First Site In Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 451.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone re","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4264","description": "Bone Replacement Graft - Each Additional Site In Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 217.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "biologi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4265","description": "Biologic Materials To Aid In Soft And Osseous Tissue Regeneration","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 677.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "guided","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4266","description": "Guided Tissue Regeneration - Resorbable Barrier, Per Site","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 580.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "guided","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4267","description": "Guided Tissue Regeneration - Nonresorbable Barrier, Per Site","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 671.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4268","description": "Surgical Revision Procedure, Per Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 609.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pedicle","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4270","description": "Pedicle Soft Tissue Graft Procedure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 762.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "subepit","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4273","description": "Subepithelial Connective Tissue Graft Procedure (Including Donor Site Surgery)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 792.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "distal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4274","description": "Distal Or Proximal Wedge Procedure (When Not Performed In Conjunction With Surgical Procedures In The Same Anatomical Ar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 424.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "soft ti","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4275","description": "Soft Tissue Allograft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 813.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "combine","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4276","description": "Combined Connective Tissue And Double Pedicle Graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 801.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "free so","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4277","description": "free soft tissue graft procedure (including donor site surgery), first tooth or edentuloustooth position in a graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 758.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "free so","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4278","description": "free soft tissue graft procedure (including donor site surgery), each additional contiguous tooth or edentulous tooth position in same graft site","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 379.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "autogen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4283","description": "autogenous connective tissue graft procedure (including donor and recipient surgical sites) - each additional contiguous tooth, implant or edentulous tooth position in sa","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 396.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "non-aut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4285","description": "non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) - each additional contiguous tooth, implant or edentulous tooth po","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 189.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "splint","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4322","description": "splint - intra-coronal; natural teeth or prosthetic crowns","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 288.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "splint","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4323","description": "splint - extra-coronal; natural teeth or prosthetic crowns","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 232.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "periodo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4341","description": "Periodontal Scaling And Root Planing, Per Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 223.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "periodo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4342","description": "Periodontal Scaling And Root Planing - One - Three Teeth, Per Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 142.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "scaling","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4346","description": "scaling in presence of generalized moderate or severe gingival inflammation - full mouth, after oral evaluation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 68.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "full mo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4355","description": "Full Mouth Debridement To Enable Comprehensive Periodontal Evaluation And Diagnosis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 143.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "localiz","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4381","description": "Localized Delivery Of Chemotherapeutic Agents Via A Controlled Release Vehicle Into Diseased Crevicular Tissue, Per Toot","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 119.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "periodo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4910","description": "Periodontal Maintenance Procedures (Following Active Therapy)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 114.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D4999","description": "Unspecified Periodontal Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 81.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "complet","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5110","description": "Complete Denture - Maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1214.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "complet","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5120","description": "Complete Denture - Mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1227.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedia","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5130","description": "Immediate Denture - Maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1362.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedia","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5140","description": "Immediate Denture - Mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1316.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxilla","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5211","description": "Maxillary Partial Denture - Resin Base (Including Any Conventional Clasps, Rests And Teeth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 857.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mandibu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5212","description": "Mandibular Partial Denture - Resin Base (Including Any Conventional Clasps,Rests And Teeth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 990.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxilla","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5213","description": "Maxillary Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1331.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mandibu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5214","description": "Mandibular Partial Denture - Cast Metal Framework With Resin Denture Bases (Including Any Conventional Clasps, Rests And","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1349.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5221","description": "immedicate maxillary partial denture - resin base (including any conventional clasps, rests and teeth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 857.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5222","description": "immedicate mandibular partial denture - resin base (including any conventional clasps, rests and teeth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 990.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5223","description": "immedicate maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1331.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5224","description": "immedicate mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1349.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxilla","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5225","description": "Maxillary part denture flex","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1046.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mandibu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5226","description": "Mandibular part denture flex","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1107.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedia","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5227","description": "immediate maxillary partial denture - flexible base (including any clasps, rests and teeth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 857.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedia","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5228","description": "immediate mandibular partial denture - flexible base (including any clasps, rests and teeth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 990.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removab","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5282","description": "removable unilateral partial denture - one piece cast metal (including clasps and teeth), maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 656.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removab","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5283","description": "removable unilateral partial denture - one piece cast metal (including clasps and teeth), mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 656.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removab","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5284","description": "removable unilateral partial denture - one piece flexible base (including clasps and teeth) - per quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 656.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removab","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5286","description": "removable unilateral partial denture - one piece resin (including clasps and teeth) - per quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 656.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "adjust","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5410","description": "Adjust Complete Denture - Maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 59.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "adjust","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5411","description": "Adjust Complete Denture - Mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 59.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "adjust","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5421","description": "Adjust Partial Denture - Maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 59.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "adjust","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5422","description": "Adjust Partial Denture - Mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 61.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5511","description": "repair broken complete denture base, mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 146.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5512","description": "repair broken complete dentrue base, maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 146.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replace","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5520","description": "Replace Missing Or Broken Teeth - Complete Denture (Each Tooth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 130.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5611","description": "repair resin partial denture base, mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 154.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5612","description": "repair resin partial denture base, maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 154.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5621","description": "repair cast partial framework, mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 201.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5622","description": "repair cast partial framework, maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 201.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5630","description": "Repair Or Replace Broken Clasp","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 196.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replace","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5640","description": "Replace Broken Teeth - Per Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 134.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "add too","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5650","description": "Add Tooth To Existing Partial Denture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 191.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "add cla","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5660","description": "Add Clasp To Existing Partial Denture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 210.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replace","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5670","description": "Replace All Teeth And Acrylic On Cast Metal Framework (Maxillary)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 642.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replace","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5671","description": "Replace All Teeth And Acrylic On Cast Metal Framework (Mandibular)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 682.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rebase","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5710","description": "Rebase Complete Maxillary Denture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 404.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rebase","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5711","description": "Rebase Complete Mandibular Denture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 426.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rebase","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5720","description": "Rebase Maxillary Partial Denture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 406.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rebase","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5721","description": "Rebase Mandibular Partial Denture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 381.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rebase","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5725","description": "rebase hybrid prosthesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 406.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reline","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5730","description": "Reline Complete Maxillary Denture (Chairside)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 281.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reline","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5731","description": "Reline Complete Mandibular Denture (Chairside)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 254.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reline","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5740","description": "Reline Maxillary Partial Denture (Chairside)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 235.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reline","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5741","description": "Reline Mandibular Partial Denture (Chairside)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 264.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reline","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5750","description": "Reline Complete Maxillary Denture (Laboratory)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 363.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reline","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5751","description": "Reline Complete Mandibular Denture (Laboratory)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 367.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reline","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5760","description": "Reline Maxillary Partial Denture (Laboratory)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reline","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5761","description": "Reline Mandibular Partial Denture (Laboratory)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 360.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "soft li","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5765","description": "soft liner for complete or partial removable denture - indirect","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interim","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5810","description": "Interim Complete Denture (Maxillary)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 554.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interim","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5811","description": "Interim Complete Denture (Mandibular)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 543.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interim","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5820","description": "Interim Partial Denture (Maxillary)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 499.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interim","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5821","description": "Interim Partial Denture (Mandibular)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 502.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tissue","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5850","description": "Tissue Conditioning, Maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 114.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tissue","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5851","description": "Tissue Conditioning, Mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 113.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "precisi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5862","description": "Precision Attachment, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 371.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "overden","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5863","description": "overdenture - complete maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1675.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "overden","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5864","description": "overdenture - partial maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1179.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "overden","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5865","description": "overdenture - complete mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1675.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "overden","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5866","description": "overdenture - partial mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1179.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replace","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5867","description": "replacement of replaceable part of semi-precision or precision attachment, per attachment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5899","description": "Unspecified Removable Prosthodontic Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 377.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cranial","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5924","description": "Cranial Prosthesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 252.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "obturat","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5932","description": "Obturator Prosthesis, Definitive","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2811.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mandibu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5935","description": "Mandibular Resection Prosthesis Without Guide Flange","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2286.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "trismus","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5937","description": "Trismus Appliance (Not For Tmd Treatment)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 207.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5982","description": "Surgical Stent","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 263.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "radiati","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5984","description": "Radiation Shield","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 697.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "fluorid","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5986","description": "Fluoride Gel Carrier","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 150.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5988","description": "Surgical Splint","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 344.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "adjust","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5992","description": "Adjust maxillofacial prosthetic appliance, by report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 213.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mainten","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5993","description": "Maintenance and cleaning of a maxillofacial prosthesis (extra or intraoral) other than required adjustments, by report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 213.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D5999","description": "Unspecified Maxillofacial Prosthesis, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 213.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6010","description": "Surgical Placement Of Implant Body: Endosteal Implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1861.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "endoste","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6012","description": "Endosteal implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1395.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "sugical","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6013","description": "sugical placement of mini implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 930.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6050","description": "Surgical Placement: Transosteal Implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1320.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interim","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6051","description": "interim abutment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 173.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dental","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6055","description": "Dental Implant Supported Connecting Bar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1182.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "prefabr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6056","description": "Prefabricated Abutment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 918.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "custom","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6057","description": "Custom Abutment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 918.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6058","description": "Abutment Supported Porcelain/Ceramic Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1158.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6059","description": "Abutment Supported Porcelain Fused To Metal Crown (High Noble Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1248.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6060","description": "Abutment Supported Porcelain Fused To Metal Crown (Predominately Base Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1072.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6061","description": "Abutment Supported Porcelain Fused To Metal Crown (Noble Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1229.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6062","description": "Abutment Supported Cast Metal Crown (High Noble Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1083.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6063","description": "Abutment Supported Cast Metal Crown (Predominately Base Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6064","description": "Abutment Supported Cast Metal Crown (Noble Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1089.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6065","description": "Implant Supported Porcelain/Ceramic Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1313.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6066","description": "Implant Supported Porcelain Fused To Metal Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1391.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6067","description": "Implant Supported Metal Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1190.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6068","description": "Abutment Supported Retainer For Porcelain/Ceramic Fpd","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6069","description": "Abutment Supported Retainer For Porcelain Fused To Metal Fpd (High Noble Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1173.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6070","description": "Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Predominately Base Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6071","description": "Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Noble Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1062.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6072","description": "Abutment Supported Retainer For Cast Metal Fpd (High Noble Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1147.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6073","description": "Abutment Supported Retainer For Cast Metal Fpd (Predominately Base Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6074","description": "Abutment Supported Retainer For Cast Metal Fpd (Noble Metal)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6075","description": "Implant Supported Retainer For Ceramic Fpd","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6076","description": "Implant Supported Retainer For Porcelain Fused To Metal Fpd","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6077","description": "Implant Supported Retainer For Case Metal Fpd","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6080","description": "Implant Maintenance Procedures, Including: Removal Of Prosthesis, Cleansing Of Prosthesis And Abutments, Reinsertion Of","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 90.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6082","description": "implant supported crown - porcelain fused to predominantly base alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1252.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6083","description": "implant supported crown - porcelain fused to noble alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1252.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6084","description": "implant supported crown - porcelain fused to titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1252.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "provisi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6085","description": "provisional implant crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 288.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6086","description": "implant supported crown - predominantly base alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1071.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6087","description": "implant supported crown - noble alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1071.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6088","description": "implant supported crown - titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1071.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6090","description": "Repair Implant Supported Prosthesis, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 156.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repl se","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6091","description": "replacement of replaceable part of semi-precision or precision attachment of implant/abutment supported prosthesis, per attachment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 152.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "recemen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6092","description": "Recement supp crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 81.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "recemen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6093","description": "Recement supp part denture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 121.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abut su","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6094","description": "Abut support crown titanium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1182.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6095","description": "Repair Implant Abutment, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 342.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6096","description": "remove broken impant retaining screw","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 173.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6097","description": "abutment supported crown - porcelain fused to titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1072.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6098","description": "implant supported retainer - porcelain fused to predominantly base alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6099","description": "implant supported retainer for FPD - porcelain fused to noble alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1062.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6100","description": "Implant Removal, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 726.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6101","description": "debridement of a periimplant defect and surface cleaning of exposed implant surfaces, including flap entry and closure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 305.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6102","description": "debridement and osseous contouring of a periimplant defect; includes surface cleaning of exposed implant surfaces and flap entry and closure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 305.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone gr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6103","description": "bone graft for repair of periimplant defect v not including flap entry and closure or,placement of a barrier membrane or bio materials to aid in osseous regeneration","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1775.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone gr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6104","description": "bone graft at time of implant placement","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1775.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant/abut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6110","description": "IMPLANT/ABUTMENT SUPP REMOVABLE DENTURE EDENT ARCH-MAXILLARY","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2125.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant/abut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6111","description": "IMPLANT/ABUTMENT SUPP REMOVABLE DENTURE EDENT ARCH-MANDIBULA","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2125.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant/abut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6112","description": "IMPLANT/ABUTMENT SUPP REMOVEABLE PARTIALLY EDENTULOUS-MAXILL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1205.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant/abut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6113","description": "IMPLANT/ABUTMENT SUPP REMOVEABLE PARTIALLY EDENTULOUS-MANDIB","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1205.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant/abut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6114","description": "IMPLANT/ABUTMENT SUPP FIXED DENTURE EDENTULOUS ARCH-MAXILLAR","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2433.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant/abut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6115","description": "IMPLANT/ABUTMENT SUPP FIXED DENTURE EDENTULOUS ARCH-MANDIBUL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2433.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant/abut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6116","description": "IMPLANT/ABUTMENT SUPP FIXED PARTIALLY  EDENTULOUS ARCH-MAXIL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1147.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant/abut","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6117","description": "IMPLANT/ABUTMENT SUPP FIXED PARTIALLY  EDENTULOUS ARCH-MANDI","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1147.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6120","description": "implant supported retainer - porcelain fused to titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6121","description": "implant supported retainer for metal FPD - predominantly base alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6122","description": "implant supported retainer for metal FPD - noble alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6123","description": "implant supported retainer for metal FPD - titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "radio/s","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6190","description": "Radio/surgical implant index","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 227.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "semi-pr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6191","description": "semi-precision abutment - placement","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 388.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "semi-pr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6192","description": "semi-precision attachment - placement","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 152.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abut su","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6194","description": "Abut support retainer titani","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1115.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abutmen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6195","description": "abutment supported retainer - porcelain fused to titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1072.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6198","description": "remove interim implant component","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 62.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6199","description": "Unspecified Implant Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 360.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic-","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6205","description": "Pontic-indirect resin based","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 672.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6210","description": "Pontic - Cast High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 807.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6211","description": "Pontic - Cast Predominantly Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 653.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6212","description": "Pontic - Cast Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 723.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6214","description": "Pontic titanium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 751.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6240","description": "Pontic - Porcelain Fused To High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 873.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6241","description": "Pontic - Porcelain Fused To Predominantly Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 767.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6242","description": "Pontic - Porcelain Fused To Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 781.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6243","description": "pontic - porcelain fused to titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 767.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic-","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6245","description": "Pontic-Porcelain/Ceramic","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 905.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6250","description": "Pontic - Resin With High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 772.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6251","description": "Pontic - Resin With Predominantly Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 703.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pontic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6252","description": "Pontic - Resin With Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 688.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "provisi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6253","description": "Provisional Pontic","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 163.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "retaine","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6545","description": "Retainer - Cast Metal For Resin Bonded Fixed Prosthesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 417.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "retaine","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6548","description": "Retainer-Porcelain/Ceramic For Resin Bonded Fixed Prosthesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 698.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "resin retain","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6549","description": "resin retainer for a resin-bonded fixed prosthesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 417.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay-p","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6600","description": "Inlay-Porcelain/Ceramic, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 610.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6601","description": "Inlay - Porcelain/Ceramic, Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6602","description": "Inlay - Cast High Noble Metal, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 565.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6603","description": "Inlay - Cast High Noble Metal, Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6604","description": "Inlay - Cast Predominantly Base Metal, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 533.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6605","description": "Inlay - Cast Predominantly Base Metal, Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6606","description": "Inlay - Cast Noble Metal, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 560.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6607","description": "Inlay - Cast Noble Metal, Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6608","description": "Onlay - Porcelain/Ceramic, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 533.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6609","description": "Onlay - Porcelain/Ceramic, Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6610","description": "Onlay - Cast High Noble Metal, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 533.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6611","description": "Onlay - Cast High Noble Metal, Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6612","description": "Onlay - Cast Predominantly Base Metal, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 533.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6613","description": "Onlay - Cast Predominantly Base Metal, Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6614","description": "Onlay - Cast Noble Metal, Two Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 533.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6615","description": "Onlay - Cast Noble Metal, Three Or More Surfaces","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inlay t","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6624","description": "Inlay titanium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 533.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "onlay t","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6634","description": "Onlay titanium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 533.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown-i","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6710","description": "Crown-indirect resin based","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6720","description": "Crown - Resin With High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 706.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown-p","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6740","description": "Crown-Porcelain/Ceramic","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 914.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6750","description": "Crown - Porcelain Fused To High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 871.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6751","description": "Crown - Porcelain Fused To Predominantly Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 777.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6752","description": "Crown - Porcelain Fused To Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 855.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "retaine","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6753","description": "retainer crown - porcelain fused to titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 777.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6780","description": "Crown - 3/4 Cast High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 680.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown-3","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6781","description": "Crown-3/4 Cast Predominately Based Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 609.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown-3","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6782","description": "Crown-3/4 Cast Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 696.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown-3","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6783","description": "Crown-3/4 Porcelain/Ceramic","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 711.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "retaine","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6784","description": "retainer crown 3/4 - titanium and titanium alloys","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 609.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6790","description": "Crown - Full Cast High Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 838.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6791","description": "Crown - Full Cast Predominantly Base Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 684.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown -","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6792","description": "Crown - Full Cast Noble Metal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 746.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "provisi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6793","description": "Provisional Retainer Crown","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 165.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "crown t","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6794","description": "Crown titanium","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 784.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "recemen","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6930","description": "Recement Fixed Partial Denture","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 121.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "stress","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6940","description": "Stress Breaker","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 269.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "precisi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6950","description": "Precision Attachment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 388.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "fixed p","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6980","description": "Fixed Partial Denture Repair, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 223.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pediatr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6985","description": "Pediatric Partial Denture, Fixed","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 261.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D6999","description": "Unspecified, Fixed Prosthodontic Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 300.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "coronal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7111","description": "Coronal Remnants - Deciduous Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "extract","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7140","description": "Extraction, Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Re","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 123.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7210","description": "Surgical Removal Of Erupted Tooth Requiring Elevation Of Mucoperiosteal Flap And Removal Of Bone And/Or Section Of Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 217.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7220","description": "Removal Of Impacted Tooth - Soft Tissue","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 264.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7230","description": "Removal Of Impacted Tooth - Partially Bony","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 330.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7240","description": "Removal Of Impacted Tooth - Completely Bony","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 413.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7241","description": "Removal Of Impacted Tooth - Completely Bony, With Unusual Surgical","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 450.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7250","description": "Surgical Removal Of Residual Tooth Roots (Cutting Procedure)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 220.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "coronec","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7251","description": "Coronectomy v intentional partial tooth removal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 413.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "oroantr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7260","description": "Oroantral Fistula Closure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 702.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "primary","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7261","description": "Primary Closure Of A Sinus Perforation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 709.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tooth r","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7270","description": "Tooth Reimplantation And/Or Stabilization Of Accidentally Evulsed Or Displaced Tooth And/Or Alveolus","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 326.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7280","description": "Surgical Exposure Of Impacted Or Unerupted Tooth For Orthodontic Reasons (Including Orthodontic Attachments)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 466.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mobiliz","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7282","description": "Mobilization Of Erupted Or Malpositioned Tooth To Aid Eruption","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 409.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "place d","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7283","description": "Place device impacted tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 233.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "biopsy","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7285","description": "Biopsy Of Oral Tissue - Hard (Bone, Tooth)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 316.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "biopsy","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7286","description": "Biopsy Of Oral Tissue - Soft (All Others)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cytolog","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7287","description": "Cytology Sample Collection","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 65.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "brush b","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7288","description": "Brush biopsy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 71.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "transse","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7291","description": "Transseptal Fiberotomy, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 90.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "screw r","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7292","description": "Screw retained plate","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 465.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "temp an","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7293","description": "Temp anchorage dev w flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 372.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "temp an","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7294","description": "Temp anchorage dev w/o flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 310.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "harvest","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7295","description": "Harvest of bone for use in autogenous grafting procedure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 281.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cortico","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7296","description": "corticotomy - one to three teeth or tooth spaces, per quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 136.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cortico","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7297","description": "corticotomy - four or more teeth or tooth spaces, per quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 218.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7298","description": "removal of temporary anchorage device [screw retained plate], requiring flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 465.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7299","description": "removal of temporary anchorage device, requiring flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 372.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7300","description": "removal of temporary anchorage device without flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 310.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "alveolo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7310","description": "Alveoloplasty In Conjunction With Extractions - Per Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 218.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "alveolo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7311","description": "Alveoloplasty w/extract 1-3","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 136.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "alveolo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7320","description": "Alveoloplasty Not In Conjunction With Extractions - Per Quadrant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 250.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "alveolo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7321","description": "Alveoloplasty not w/extracts","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 127.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "vestibu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7340","description": "Vestibuloplasty - Ridge Extension (Secondary Epithelialization)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 482.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "radical","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7410","description": "Radical Excision - Lesion Diameter Up To 1.25 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 298.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7411","description": "Excision Of Benign Lesion Greater Than 1.25 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 364.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7412","description": "Excision Of Benign Lesion, Complicated","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 330.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7413","description": "Excision Of Malignant Lesion Up To 1.25 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 225.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7414","description": "Excision Of Malignant Lesion Greater Than 1.25 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 330.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7415","description": "Excision Of Malignant Lesion, Complicated","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 330.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7450","description": "Removal Of Odontogenic Cyst Or Tumor - Lesion Diameter Up To 1.25 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 394.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7451","description": "Removal Of Odontogenic Cyst Or Tumor - Lesion Diameter Greater Than 1.25 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 530.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7460","description": "Removal Of Nonodontogenic Cyst Or Tumor - Lesion Diameter Up To 1.25 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 660.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7461","description": "Removal Of Nonodontogenic Cyst Or Tumor - Lesion Diameter Greater Than 1.25 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 230.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7465","description": "Destruction Of Lesion(S) By Physical Or Chemical Method, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 148.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7471","description": "Removal Of Exostotis-Per Site","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 518.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7472","description": "Removal Of Torus Palatinus","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 544.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7473","description": "Removal Of Torus Mandibularis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 576.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7485","description": "Surgical Reduction Of Osseous Tuberosity","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 489.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "incisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7510","description": "Incision And Drainage Of Abscess - Intraoral Soft Tissue","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 222.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "incisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7511","description": "Incision/drain abscess intra","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 241.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "incisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7520","description": "Incision And Drainage Of Abscess - Extraoral Soft Tissue","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 290.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "incisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7521","description": "Incision/drain abscess extra","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 328.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7530","description": "Removal Of Foreign Body, Skin, Or Subcutaneous Areolar Tissue","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 136.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7540","description": "Removal Of Reaction-Producing Foreign Bodies - Musculoskeletal System","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 648.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxilla","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7560","description": "Maxillary Sinusotomy For Removal Of Tooth Fragment Or Foreign Body","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1526.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "maxilla","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7620","description": "Maxilla - Closed Reduction (Teeth Immobilized, If Present)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 455.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mandibl","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7630","description": "Mandible - Open Reduction (Teeth Immobilized, If Present)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3725.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "alveolu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7670","description": "Alveolus - Stabilization Of Teeth, Closed Reduction Splinting","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 717.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "alveolu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7671","description": "Alveolus - Open Reduction, May Include Stabilization Of Teeth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 732.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mandibl","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7740","description": "Mandible - Closed Reduction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2811.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "alveolu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7770","description": "Alveolus - Stabilization Of Teeth, Open Reduction Splinting","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 621.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "alveolu","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7771","description": "Alveolus, Closed Reduction Stabilization Of Teeth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 585.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "closed","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7820","description": "Closed Reduction Of Dislocation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 429.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "manipul","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7830","description": "Manipulation Under Anesthesia","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 88.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "arthroc","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7870","description": "Arthrocentesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 606.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "occlusa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7880","description": "Occlusal Orthotic Device, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 802.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "occlusa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7881","description": "occlusal orthotic device adjustment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 59.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7899","description": "Unspecified Tmd Therapy, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 120.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "suture","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7910","description": "Suture Of Recent Small Wounds Up To 5 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 64.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "complic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7911","description": "Complicated Suture - Up To 5 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 124.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "complic","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7912","description": "Complicated Suture - Greater Than 5 Cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 344.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "collect","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7921","description": "collection and application of autologous blood concentrate product","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 279.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "osteopl","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7940","description": "Osteoplasty - For Orthognathic Deformities","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 134.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "osteoto","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7941","description": "Osteotomy - Mandibular Rami","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4516.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "osteoto","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7943","description": "Osteotomy - Mandibular Rami With Bone Graft; Includes Obtaining The Graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 528.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "osteoto","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7945","description": "Osteotomy - Body Of Mandible","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 5506.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "lefort","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7946","description": "Lefort I (Maxilla - Total)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 5251.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "lefort","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7948","description": "Lefort Ii Or Lefort Iii (Osteoplasty Of Facial Bones For Midface Hypoplasia Or Retrusion)-Without Bone Graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 28.80,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "osseous","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7950","description": "Osseous, Osteoperiosteal, Or Cartilage Graft Of The Mandible Or Facial Bones - Autogenous Or Nonautogenous, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1864.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "sinus a","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7951","description": "Sinus aug w bone/bone sup","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2055.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "sinus a","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7952","description": "sinus augmentation via a vertical approach","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2055.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone re","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7953","description": "Bone replacement graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1775.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7955","description": "Repair Of Maxillofacial Soft And Hard Tissue Defect","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 505.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "buccal","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7961","description": "buccal / labial frenectomy (frenulectomy)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 403.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "lingual","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7962","description": "lingual frenectomy (frenulectomy)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 403.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "frenulo","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7963","description": "Frenuloplasty","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 345.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7970","description": "Excision Of Hyperplastic Tissue - Per Arch","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 317.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7971","description": "Excision Of Pericoronal Gingiva","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 153.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7972","description": "Surgical Reduction Of Fibrous Tuberosity","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 443.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "non - s","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7979","description": "non - surgical sialolithotomy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 223.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "sialoli","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7980","description": "Sialolithotomy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 446.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7994","description": "surgical placement: zygomatic implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1861.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "synthet","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7995","description": "Synthetic Graft - Mandible Or Facial Bones, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 281.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "applian","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7997","description": "Appliance Removal (Not By Dentist Who Placed Appliance), Includes Removal Of Archbar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 240.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intraor","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7998","description": "Intraoral place of fix dev","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 310.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D7999","description": "Unspecified Oral Surgery Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 42.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "limited","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8010","description": "Limited Orthodontic Treatment Of The Primary Dentition","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "limited","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8020","description": "Limited Orthodontic Treatment Of The Transitional Dentition","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "limited","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8030","description": "Limited Orthodontic Treatment Of The Adolescent Dentition","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "limited","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8040","description": "Limited Orthodontic Treatment Of The Adult Dentition","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "compreh","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8070","description": "Comprehensive Orthodontic Treatment Of The Transitional Dentition","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "compreh","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8080","description": "Comprehensive Orthodontic Treatment Of The Adolescent Dentition","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "compreh","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8090","description": "Comprehensive Orthodontic Treatment Of The Adult Dentition","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removab","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8210","description": "Removable Appliance Therapy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "fixed a","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8220","description": "Fixed Appliance Therapy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pre-ort","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8660","description": "Pre-Orthodontic Treatment Visit","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "periodi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8670","description": "Periodic Orthodontic Treatment Visit (As Part Of Contract)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removab","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8681","description": "removable orthoontic retainer adjustment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8696","description": "repair of orthodontic appliance - maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8697","description": "repair of orthodontic appliance - mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "re-ceme","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8698","description": "re-cement or re-bond fixed retainer - maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "re-ceme","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8699","description": "re-cement or re-bond fixed retainer - mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8701","description": "repair of fixed retainer, includes reattachment - maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8702","description": "repair of fixed retainer, includes reattachment - mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replace","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8703","description": "replacement of lost or broken retainer - maxillary","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replace","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8704","description": "replacement of lost or broken retainer - mandibular","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D8999","description": "Unspecified Orthodontic Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 9000.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "palliat","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9110","description": "Palliative (Emergency) Treatment Of Dental Pain - Minor Procedure","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 104.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "fix par","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9120","description": "Fix partial denture section","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 207.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "local a","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9210","description": "Local Anesthesia Not In Conjunction With Operative Or Surgical Procedures","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 25.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "regiona","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9211","description": "Regional Block Anesthesia","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 15.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "trigemi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9212","description": "Trigeminal Division Block Anesthesia","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 15.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "local a","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9215","description": "Local Anesthesia","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 21.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deep se","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9222","description": "deep sedation/general anesthesia - first 15 minutes","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 171.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deep se","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9223","description": "deep sedation/gereral anesthesia - each 15 minute increment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 171.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "analges","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9230","description": "Analgesia Anxiolysis, Inhalation Of Nitrous Oxide","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 53.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intrave","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9239","description": "intravenous moderate (conscious) sedation/analgesia - first 15 minutes","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 139.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intrave","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9243","description": "intravenous moderate (conscious) sedation/analgesia - each 15 minute increment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 139.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "non-int","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9248","description": "Non-Intravenous Conscious Sedation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 80.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "consult","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9310","description": "Consultation (Diagnostic Service Provided By Dentist Or Physician Other Than Practitioner Providing Treatment)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 92.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "consult","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9311","description": "consultation with a medical health care professional","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 92.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "house/e","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9410","description": "House/Extended Care Facility Call","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 57.40,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "hospita","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9420","description": "Hospital Call","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 217.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "office","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9430","description": "Office Visit For Observation (During Regularly Scheduled Hours) - No Other Services Performed","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 50.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "office","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9440","description": "Office Visit - After Regularly Scheduled Hours","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 113.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "case pr","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9450","description": "Case Presentation, Detailed And Extensive Treatment Planning","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 44.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "therape","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9610","description": "Therapeutic Drug Injection, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 80.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "thera p","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9612","description": "Thera par drugs 2 or > admin","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 167.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "other d","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9630","description": "Other Drugs And/Or Medicaments, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 26.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "applica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9910","description": "Application Of Desensitizing Medicament","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 42.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "applica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9911","description": "Application Of Desensitizing Resin For Cervical And/Or Root Surface, Per Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 47.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "behavio","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9920","description": "Behavior Management, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 129.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "treatme","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9930","description": "Treatment Of Complications (Post-Surgical) - Unusual Circumstances, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 53.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "fabrica","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9941","description": "Fabrication Of Athletic Mouthguard","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 115.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair/","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9942","description": "Repair/reline occlusal guard","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 83.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "occlusa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9943","description": "occlusal guard adjustment","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 59.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "occlusa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9944","description": "occlusal guard - hard appliance, full arch","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 426.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "occlusa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9945","description": "occlusal guard - soft appliance, full arch","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 213.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "occlusi","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9950","description": "Occlusion Analysis - Mounted Case","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 253.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "occlusa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9951","description": "Occlusal Adjustment - Limited","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 93.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "occlusa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9952","description": "Occlusal Adjustment - Complete","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 718.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "enamel","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9970","description": "Enamel Microabrasion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 88.90,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "odontop","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9971","description": "Odontoplasty 1-2 Teeth, Includes Removal Of Enamel Projections","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 39.70,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "externa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9972","description": "External Bleaching-Per Arch","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 271.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "externa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9973","description": "External Bleaching-Per Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 84.20,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "interna","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9974","description": "Internal Bleaching-Per Tooth","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 209.60,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "externa","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9975","description": "external bleaching for home application, per arch; includes materials and fabrication of custom trays","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 54.30,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "unspeci","billing_code_type": "CDT","billing_code_type_version": "2022","billing_code": "D9999","description": "Unspecified Adjunctive Procedure, By Report","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 94.10,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ADM SAR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0001A","description": "ADM SARSCOV2 30MCG/0.3ML 1ST","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Red blo","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0001U","description": "Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 749.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ADM SAR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0002A","description": "ADM SARSCOV2 30MCG/0.3ML 2ND","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "liver d","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0002M","description": "Liver dis 10 assays w/ash","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 524.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Oncolog","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0002U","description": "Oncology (colorectal), quantitative assessment of three urine metabolites (ascorbic acid, succinic acid and carnitine) by liquid chromatography with tandem mass spect","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 26.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ADM SAR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0003A","description": "ADM SARSCOV2 30MCG/0.3ML 3RD","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "liver d","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0003M","description": "Liver dis 10 assays w/nash","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 524.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Oncolog","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0003U","description": "Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1, CA 125 II, follicle stimulating hormone, human epididymis protein 4, transferrin), utilizing","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 988.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "scolios","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0004M","description": "Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 82.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONCO PR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0005U","description": "ONCO PRST8 3 GENE UR ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 790.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Onc hep","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0006M","description": "Onc hep gene risk classifier","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 156.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Oncology GI neuroendocrine tumors","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0007M","description": "Oncology GI neuroendocrine tumors","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 390.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX TEST","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0007U","description": "RX TEST PRSMV UR W/DEF CONF","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 119.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Oncology (breast), MRNA analysis","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0008M","description": "Oncology (breast), MRNA analysis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3164.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HPYLORI","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0008U","description": "HPYLORI DETCJ ABX RSTNC DNA","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 622.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Fetal a","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0009M","description": "Fetal aneuploidy trisom risk","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 140.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC BRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0009U","description": "ONC BRST CA ERBB2 AMP/NONAMP","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 111.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NFCT DS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0010U","description": "NFCT DS STRN TYP WHL GEN SEQ","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 444.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ADM SAR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0011A","description": "ADM SARSCOV2 100MCG/0.5ML1ST","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC PRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0011M","description": "ONC PRST8 CA MRNA 12 GEN ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 790.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX MNTR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0011U","description": "RX MNTR LC-MS/MS ORAL FLUID","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 119.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ADM SAR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0012A","description": "ADM SARSCOV2 100MCG/0.5ML2ND","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC MRN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0012M","description": "ONC MRNA 5 GEN RSK URTHL CA","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 790.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GERMLN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0012U","description": "GERMLN DO GENE REARGMT DETCJ","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2616.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ADM SAR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0013A","description": "ADM SARSCOV2 100MCG/0.5ML3RD","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC MRN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0013M","description": "ONC MRNA 5 GEN RECR URTHL CA","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 790.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC SLD","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0013U","description": "ONC SLD ORG NEO GENE REARGMT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2616.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "LIVER D","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0014M","description": "LIVER DS ALYS 3 BMRK SRM ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 183.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HEM HMT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0014U","description": "HEM HMTLMF NEO GENE REARGMT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2616.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC HMT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0016U","description": "ONC HMTLMF NEO RNA BCR/ABL1","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 171.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC HMT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0017U","description": "ONC HMTLMF NEO JAK2 MUT DNA","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 95.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC THY","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0018U","description": "ONC THYR 10 MICRORNA SEQ ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3122.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC RNA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0019U","description": "ONC RNA TISS PREDICT ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3822.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC PRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0021U","description": "ONC PRST8 DETCJ 8 AUTOANTB","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 790.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TRGT GE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0022U","description": "TRGT GEN SEQ DNA&RNA 23 GENE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2028.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC AML","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0023U","description": "ONC AML DNA DETCJ/NONDETCJ","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 258.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GLYCA N","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0024U","description": "GLYCA NUC MR SPECTRSC QUAN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 36.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TENOFOV","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0025U","description": "TENOFOVIR LIQ CHROM UR QUAN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 89.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC THY","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0026U","description": "ONC THYR DNA&MRNA 112 GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3744.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "JAK2 GE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0027U","description": "JAK2 GENE TRGT SEQ ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 127.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX META","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0029U","description": "RX METAB ADVRS TRGT SEQ ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 772.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX META","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0030U","description": "RX METAB WARF TRGT SEQ ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 139.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ADM SAR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0031A","description": "ADM SARSCOV2 VAC AD26 .5ML","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CYP1A2","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0031U","description": "CYP1A2 GENE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 182.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "COMT GE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0032U","description": "COMT GENE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 182.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HTR2A H","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0033U","description": "HTR2A HTR2C GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 364.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TPMT NU","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0034U","description": "TPMT NUDT15 GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 485.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NEURO C","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0035U","description": "NEURO CSF PRION PRTN QUAL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 563.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "XOME TU","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0036U","description": "XOME TUM & NML SPEC SEQ ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4971.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TRGT GE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0037U","description": "TRGT GEN SEQ DNA 324 GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3640.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "VITAMIN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0038U","description": "VITAMIN D SRM MICROSAMP QUAN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 31.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DNA ANT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0039U","description": "DNA ANTB 2STRAND HI AVIDITY","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 14.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "BCR/ABL","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0040U","description": "BCR/ABL1 GENE MAJOR BP QUAN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 426.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "B BRGDR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0041U","description": "B BRGDRFERI ANTB 5 PRTN IGM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 18.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "B BRGDR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0042U","description": "B BRGDRFERI ANTB 12 PRTN IGG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 18.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TBRF B","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0043U","description": "TBRF B GRP ANTB 4 PRTN IGM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 15.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TBRF B","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0044U","description": "TBRF B GRP ANTB 4 PRTN IGG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 15.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC BRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0045U","description": "ONC BRST DUX CARC IS 12 GENE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4028.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "FLT3 GE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0046U","description": "FLT3 GENE ITD VARIANTS QUAN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 424.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC PRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0047U","description": "ONC PRST8 MRNA 17 GENE ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4028.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC SLD","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0048U","description": "ONC SLD ORG NEO DNA 468 GENE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3036.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NPM1 GE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0049U","description": "NPM1 GENE ANALYSIS QUAN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 424.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TRGT GE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0050U","description": "TRGT GEN SEQ DNA 194 GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3033.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX MNTR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0051U","description": "RX MNTR LC-MS/MS UR 31 PNL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 201.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "LPOPRTN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0052U","description": "LPOPRTN BLD W/5 MAJ CLASSES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 35.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC PRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0053U","description": "ONC PRST8 CA FISH ALYS 4 GEN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2111.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX MNTR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0054U","description": "RX MNTR 14+ DRUGS & SBSTS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 155.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CARD HR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0055U","description": "CARD HRT TRNSPL 96 DNA SEQ","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3370.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HEM AML","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0056U","description": "HEM AML DNA GENE REARGMT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2616.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC MER","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0058U","description": "ONC MERKEL CLL CARC SRM QUAN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 336.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC MER","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0059U","description": "ONC MERKEL CLL CARC SRM +/-","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 336.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TWN ZYG","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0060U","description": "TWN ZYG GEN SEQ ALYS CHRMS2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 789.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TC MEAS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0061U","description": "TC MEAS 5 BMRK SFDI M-S ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 26.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "AI SLE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0062U","description": "AI SLE IGG&IGM ALYS 80 BMRK","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 396.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NEURO A","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0063U","description": "NEURO AUTISM 32 AMINES ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 780.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ANTB TP","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0064U","description": "ANTB TP TOTAL&RPR IA QUAL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 33.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "SYFLS T","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0065U","description": "SYFLS TST NONTREPONEMAL ANTB","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 19.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "PAMG-1","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0066U","description": "PAMG-1 IA CERVICO-VAG FLUID","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 16.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC BRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0067U","description": "ONC BRST IMHCHEM PRFL 4 BMRK","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1973.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CANDIDA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0068U","description": "CANDIDA SPECIES PNL AMP PRB","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 148.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC CLR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0069U","description": "ONC CLRCT MICRORNA MIR-31-3P","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 395.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CYP2D6","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0070U","description": "CYP2D6 GEN COM&SLCT RAR VRNT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 703.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CYP2D6","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0071U","description": "CYP2D6 FULL GENE SEQUENCE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 313.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CYP2D6","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0072U","description": "CYP2D6 GEN CYP2D6-2D7 HYBRID","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 469.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CYP2D6","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0073U","description": "CYP2D6 GEN CYP2D7-2D6 HYBRID","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 469.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CYP2D6","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0074U","description": "CYP2D6 NONDUPLICATED GENE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 469.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq st","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0075T","description": "Perq stent/chest vert art","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1942.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CYP2D6","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0075U","description": "CYP2D6 5' GENE DUP/MLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 469.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "s&i ste","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0076T","description": "S&i stent/chest vert art","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1505.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CYP2D6","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0076U","description": "CYP2D6 3' GENE DUP/MLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 469.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "IG PARA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0077U","description": "IG PARAPROTEIN QUAL BLD/UR","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 45.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "PAIN MG","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0078U","description": "PAIN MGT OPI USE GNOTYP PNL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 469.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC LNG","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0080U","description": "ONC LNG 5 CLIN RSK FACTR ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3661.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX TEST","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0082U","description": "RX TEST DEF 90+ RX/SBSTS UR","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 257.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC RSP","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0083U","description": "ONC RSPSE CHEMO CNTRST TOMOG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 174.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RBC DNA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0084U","description": "RBC DNA GNOTYP 10 BLD GROUPS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 749.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NFCT DS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0086U","description": "NFCT DS BACT&FNG ORG ID 6+","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 208.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CRD HRT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0087U","description": "CRD HRT TRNSPL MRNA 1283 GEN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TRNSPLJ","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0088U","description": "TRNSPLJ KDN ALGRFT REJ 1494","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC MLN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0089U","description": "ONC MLNMA PRAME & LINC00518","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 790.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC CUT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0090U","description": "ONC CUTAN MLNMA MRNA 23 GENE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1825.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC LNG","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0092U","description": "ONC LNG 3 PRTN BMRK PLSM ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2588.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX MNTR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0093U","description": "RX MNTR 65 COM DRUGS URINE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 65.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GENOME","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0094U","description": "GENOME RAPID SEQUENCE ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 7885.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "INFLM E","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0095U","description": "INFLM EE ELISA ALYS ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 803.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HPV HI","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0096U","description": "HPV HI RISK TYPES MALE URINE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 36.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RESPIR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0098U","description": "RESPIR PATHOGEN 14 TARGETS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 258.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RESPIR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0099U","description": "RESPIR PATHOGEN 20 TARGETS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RESPIR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0100U","description": "RESPIR PATHOGEN 21 TARGETS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 311.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED C","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0101U","description": "HERED COLON CA DO 15 GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1217.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED B","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0102U","description": "HERED BRST CA RLTD DO 17 GEN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1163.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED O","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0103U","description": "HERED OVA CA PNL 24 GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1163.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NEPH CK","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0105U","description": "NEPH CKD MULT ECLIA TUM NEC","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 988.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GSTR EM","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0106U","description": "GSTR EMPTG 7 TIMED BRTH SPEC","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 909.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "C DIFF","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0107U","description": "C DIFF TOX AG DETCJ IA STOOL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 16.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GI BARR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0108U","description": "GI BARRETT ESOPH 9 PRTN BMRK","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2614.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ID ASPE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0109U","description": "ID ASPERGILLUS DNA 4 SPECIES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 148.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX MNTR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0110U","description": "RX MNTR 1+ORAL ONC RX&SBSTS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 28.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC COL","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0111U","description": "ONC COLON CA KRAS&NRAS ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 710.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "IADI 16","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0112U","description": "IADI 16S&18S RRNA GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 370.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC PRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0113U","description": "ONC PRST8 PCA3&TMPRSS2-ERG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 790.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GI BARR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0114U","description": "GI BARRETTS ESOPH VIM&CCNA1","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2016.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RESPIR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0115U","description": "RESPIR IADNA 18 VIRAL&2 BACT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RX MNTR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0116U","description": "RX MNTR NZM IA 35+ORAL FLU","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 257.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "PAIN MG","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0117U","description": "PAIN MGMT 11 ENDOGENOUS ANAL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 874.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TRNSPLJ","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0118U","description": "TRNSPLJ DON-DRV CLL-FR DNA","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2863.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CRD CER","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0119U","description": "CRD CERAMIDES LIQ CHROM PLSM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 87.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC B C","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0120U","description": "ONC B CLL LYMPHM MRNA 58 GEN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2611.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "SC DIS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0121U","description": "SC DIS VCAM-1 WHOLE BLOOD","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 530.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "SC DIS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0122U","description": "SC DIS P-SELECTIN WHL BLOOD","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 547.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "MCHNL F","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0123U","description": "MCHNL FRAGILITY RBC PRFLG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 372.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED B","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0129U","description": "HERED BRST CA RLTD DO PANEL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1163.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED C","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0130U","description": "HERED COLON CA DO MRNA PNL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 608.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED B","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0131U","description": "HERED BRST CA RLTD DO PNL 13","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 738.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED O","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0132U","description": "HERED OVA CA RLTD DO PNL 17","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 771.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED P","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0133U","description": "HERED PRST8 CA RLTD DO 11","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 718.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED P","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0134U","description": "HERED PAN CA MRNA PNL 18 GEN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 778.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HERED G","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0135U","description": "HERED GYN CA MRNA PNL 12 GEN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 729.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ATM MRN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0136U","description": "ATM MRNA SEQ ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 424.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "PALB2 M","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0137U","description": "PALB2 MRNA SEQ ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 294.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "BRCA1 B","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0138U","description": "BRCA1 BRCA2 MRNA SEQ ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 487.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DRUG AS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0145U","description": "DRUG ASSAY 65+ RX/METABLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 89.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DRUG AS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0146U","description": "DRUG ASSAY 80+ RX/METABLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 89.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DRUG AS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0147U","description": "DRUG ASSAY 85+ RX/METABLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 89.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DRUG AS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0148U","description": "DRUG ASSAY 100+ RX/METABLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 89.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DRUG AS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0149U","description": "DRUG ASSAY 60+ RX/METABLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 89.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DRUG AS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0150U","description": "DRUG ASSAY 120+ RX/METABLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 89.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "FGFR3 G","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0154U","description": "FGFR3 GENE ANALYSIS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 216.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "PIK3CA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0155U","description": "PIK3CA GENE ANALYSIS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "LIVER D","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0166U","description": "LIVER DS 10 BIOCHEM ASY SRM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 524.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CHORNC","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0167U","description": "CHORNC GONADOTROPIN HCG IA","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 8.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NUDT15&","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0169U","description": "NUDT15&TPMT GENE COM VRNT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 485.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NEURO A","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0170U","description": "NEURO ASD RNA NEXT GEN SEQ","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1825.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC SLD","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0172U","description": "ONC SLD TUM ALYS BRCA1 BRCA2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3151.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cad cxr","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0174T","description": "Cad cxr with interp","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 33.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cad cxr","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0175T","description": "Cad cxr remote","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 33.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CDTB&VI","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0176U","description": "CDTB&VINCULIN IGG ANTB IA","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 67.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC BRS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0177U","description": "ONC BRST CA DNA PIK3CA 11","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 256.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CO GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0181U","description": "CO GNOTYP AQP1 EXON 1","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "CROM GN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0182U","description": "CROM GNOTYP CD55 EXONS 1-10","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 313.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DI GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0183U","description": "DI GNOTYP SLC4A1 EXON 19","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "DO GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0184U","description": "DO GNOTYP ART4 EXON 2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "FUT1 GN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0185U","description": "FUT1 GNOTYP FUT1 EXON 4","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "FUT2 GN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0186U","description": "FUT2 GNOTYP FUT2 EXON 2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "FY GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0187U","description": "FY GNOTYP ACKR1 EXONS 1-2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GE GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0188U","description": "GE GNOTYP GYPC EXONS 1-4","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GYPA GN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0189U","description": "GYPA GNOTYP NTRNS 1 5 EXON 2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GYPB GN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0190U","description": "GYPB GNOTYP NTRNS 1 5 SEUX 3","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "IN GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0191U","description": "IN GNOTYP CD44 EXONS 2 3 6","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "JK GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0192U","description": "JK GNOTYP SLC14A1 EXON 9","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "JR GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0193U","description": "JR GNOTYP ABCG2 EXONS 2-26","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 294.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "KEL GNO","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0194U","description": "KEL GNOTYP KEL EXON 8","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "KLF1 TA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0195U","description": "KLF1 TARGETED SEQUENCING","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 390.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "LU GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0196U","description": "LU GNOTYP BCAM EXON 3","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "LW GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0197U","description": "LW GNOTYP ICAM4 EXON 1","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RHD&RHC","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0198U","description": "RHD&RHCE GNTYP RHD1-10&RHCE5","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 294.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "SC GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0199U","description": "SC GNOTYP ERMAP EXONS 4 12","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "XK GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0200U","description": "XK GNOTYP XK EXONS 1-3","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 286.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "YT GNOT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0201U","description": "YT GNOTYP ACHE EXON 2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 193.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NFCT DS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0202U","description": "NFCT DS 22 TRGT SARS-COV-2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 433.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "AI IBD","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0203U","description": "AI IBD MRNA XPRSN PRFL 17","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 790.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC THY","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0204U","description": "ONC THYR MRNA XPRSN ALYS 593","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3036.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "OPH AMD","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0205U","description": "OPH AMD ALYS 3 GENE VARIANTS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 49.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "SYPHILI","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0210U","description": "SYPHILIS TST ANTB IA QUAN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 19.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC PAN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0211U","description": "ONC PAN-TUM DNA&RNA GNRJ SEQ","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3822.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NEURO M","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0218U","description": "NEURO MUSC DYS DMD SEQ ALYS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2370.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NFCT DS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0223U","description": "NFCT DS 22 TRGT SARS-COV-2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 323.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ANTIBOD","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0224U","description": "ANTIBODY SARS-COV-2 TITER(S)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 44.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NFCT DS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0225U","description": "NFCT DS DNA&RNA 21 SARSCOV2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 323.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "SVNT SA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0226U","description": "SVNT SARSCOV2 ELISA PLSM SRM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 44.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NFCT DS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0240U","description": "NFCT DS VIR RESP RNA 3 TRGT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 148.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NFCT DS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0241U","description": "NFCT DS VIR RESP RNA 4 TRGT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 148.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "TRGT GE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0242U","description": "TRGT GEN SEQ ALYS PNL 55-74","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 5200.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "OB PE B","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0243U","description": "OB PE BIOCHEM ASSAY PGF ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 67.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC SOL","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0244U","description": "ONC SOLID ORGN DNA 257 GENES","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3640.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RBC DNA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0246U","description": "RBC DNA GNOTYP 16 BLD GROUPS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 749.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "OB PRTR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0247U","description": "OB PRTRM BRTH IBP4 SHBG MEAS","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 780.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC SLD","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0250U","description": "ONC SLD ORG NEO DNA 505 GENE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3036.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HEPCIDI","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0251U","description": "HEPCIDIN-25 ELISA SERUM/PLSM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 18.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "AI PSOR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0258U","description": "AI PSOR MRNA 50-100 GEN ALG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3822.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NEPH CK","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0259U","description": "NEPH CKD NUC MRS MEAS GFR","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 55.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ONC CLR","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0261U","description": "ONC CLRCT CA IMG ALYS W/AI","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2614.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NEURO A","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0263U","description": "NEURO ASD MEAS 16 C METBLT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 780.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HEM HEP","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0275U","description": "HEM HEPRN NDUC TRMBCTPNA SRM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 19.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HEM VW","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0279U","description": "HEM VW FACTOR&CLGN III BNDG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 12.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HEM VW","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0280U","description": "HEM VW FACTOR&CLGN IV BNDG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 18.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "HEM VWD","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0281U","description": "HEM VWD PROPEPTIDE AG LVL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 18.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RBC DNA","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0282U","description": "RBC DNA GNTYP 12 BLD GRP GEN","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 749.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "VW FACT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0283U","description": "VW FACTOR TYPE 2B EVAL PLSM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 19.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "VW FACT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0284U","description": "VW FACTOR TYPE 2N EVAL PLSM","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 18.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Exposure behav assessment first 30 min","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0362T","description": "Exposure behav assessment first 30 min","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 15.00,"expiration_date": "9999-12-31","service_code": ["01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "EXPOSURE BEHAVIOR TREATMENT","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0373T","description": "EXPOSURE BEHAVIOR TREATMENT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 15.00,"expiration_date": "9999-12-31","service_code": ["01", "02", "03", "04", "05", "06", "07", "08", "09", "10", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "PATTERN","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "0509T","description": "PATTERN ERG W/I&R","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 143.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Fna bx","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10004","description": "Fna bx w/o img gdn ea addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 88.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 73.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Fna bx","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10005","description": "Fna bx w/us gdn 1st les","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 234.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 121.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Fna bx","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10006","description": "Fna bx w/us gdn ea addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 85.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 103.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Fna bx","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10007","description": "Fna bx w/fluor gdn 1st les","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 537.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 154.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Fna bx","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10008","description": "Fna bx w/fluor gdn ea addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 285.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Fna bx","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10009","description": "Fna bx w/ct gdn 1st les","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 822.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 188.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Fna bx","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10010","description": "Fna bx w/ct gdn ea addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 483.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 135.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "fna w/o","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10021","description": "Fna w/o image","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 179.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 93.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "guide c","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10030","description": "GUIDE CATHET FLUID DRAINAGE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1212.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 240.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10035","description": "Perq dev soft tiss 1st imag","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 149.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 779.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10036","description": "Perq dev soft tiss add imag","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 76.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 672.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "acne su","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10040","description": "Acne surgery","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 209.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 91.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drainag","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10060","description": "Drainage of skin abscess","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 184.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 223.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drainag","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10061","description": "Drainage of skin abscess","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 327.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 382.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drainag","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10080","description": "Drainage of pilonidal cyst","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 453.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 190.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drainag","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10081","description": "Drainage of pilonidal cyst","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 622.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 310.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10120","description": "Remove foreign body","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 279.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 187.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10121","description": "Remove foreign body","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 314.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 467.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drainag","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10140","description": "Drainage of hematoma/fluid","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 310.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 212.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "punctur","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10160","description": "Puncture drainage of lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 235.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 169.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "complex","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "10180","description": "Complex drainage wound","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 479.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 321.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11000","description": "Debride infected skin","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 49.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 104.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11001","description": "Debride infected skin add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 24.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 45.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11004","description": "Debride genitalia & perineum","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1026.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11005","description": "Debride abdom wall","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1394.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11006","description": "Debride genit/per/abdom wall","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1260.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11008","description": "Remove mesh from abd wall","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 466.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11010","description": "Debride skin at fx site","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 812.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 465.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11011","description": "Debride skin musc at fx site","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 899.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 506.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deb ski","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11012","description": "Deb skin bone at fx site","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 704.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1148.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deb sub","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11042","description": "Deb subq tissue 20 sq cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 237.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 107.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deb mus","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11043","description": "Deb musc/fascia 20 sq cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 427.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 276.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deb bon","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11044","description": "Deb bone 20 sq cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 401.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 563.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deb sub","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11045","description": "Deb subq tissue add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 46.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 74.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deb mus","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11046","description": "Deb musc/fascia add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 133.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deb bon","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11047","description": "Deb bone add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 219.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 173.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "trim sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11055","description": "Trim skin lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 28.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 126.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "trim sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11056","description": "Trim skin lesions 2 to 4","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 145.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 40.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "trim sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11057","description": "Trim skin lesions over 4","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 159.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 51.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Tangntl","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11102","description": "Tangntl bx skin single les","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 179.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 64.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Tangntl","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11103","description": "Tangntl bx skin ea sep/addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 36.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 90.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Punch b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11104","description": "Punch bx skin single lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 222.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 79.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Punch b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11105","description": "Punch bx skin ea sep/addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 43.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 104.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Incal b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11106","description": "Incal bx skn single les","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 96.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 273.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Incal b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11107","description": "Incal bx skn ea sep/addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 125.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 53.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11200","description": "Removal of skin tags <w/15","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 134.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 162.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11201","description": "Remove skin tags add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 32.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 29.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11300","description": "Shave skin lesion 0.5 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 60.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 188.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11301","description": "Shave skin lesion 0.6-1.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 225.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 90.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11302","description": "Shave skin lesion 1.1-2.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 256.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11303","description": "Shave skin lesion >2.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 282.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 124.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11305","description": "Shave skin lesion 0.5 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 197.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 68.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11306","description": "Shave skin lesion 0.6-1.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 87.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 226.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11307","description": "Shave skin lesion 1.1-2.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 261.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 112.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11308","description": "Shave skin lesion >2.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 126.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 277.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11310","description": "Shave skin lesion 0.5 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 215.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 80.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11311","description": "Shave skin lesion 0.6-1.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 253.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 111.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11312","description": "Shave skin lesion 1.1-2.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 130.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 288.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "shave s","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11313","description": "Shave skin lesion >2.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 334.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 169.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11400","description": "Exc tr-ext b9+marg 0.5 cm<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 141.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 223.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11401","description": "Exc tr-ext b9+marg 0.6-1 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 177.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 269.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11402","description": "Exc tr-ext b9+marg 1.1-2 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 195.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 296.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11403","description": "Exc tr-ext b9+marg 2.1-3cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 342.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 251.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11404","description": "Exc tr-ext b9+marg 3.1-4 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 277.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 389.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11406","description": "Exc tr-ext b9+marg >4.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 420.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 551.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc h-f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11420","description": "Exc h-f-nk-sp b9+marg 0.5/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 222.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 139.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc h-f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11421","description": "Exc h-f-nk-sp b9+marg 0.6-1","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 184.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 277.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc h-f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11422","description": "Exc h-f-nk-sp b9+marg 1.1-2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 311.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 229.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc h-f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11423","description": "Exc h-f-nk-sp b9+marg 2.1-3","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 355.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 263.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc h-f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11424","description": "Exc h-f-nk-sp b9+marg 3.1-4","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 300.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 407.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc h-f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11426","description": "Exc h-f-nk-sp b9+marg >4 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 581.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 465.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc fac","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11440","description": "Exc face-mm b9+marg 0.5 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 248.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 177.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc fac","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11441","description": "Exc face-mm b9+marg 0.6-1 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 222.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 300.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc fac","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11442","description": "Exc face-mm b9+marg 1.1-2 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 245.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 333.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc fac","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11443","description": "Exc face-mm b9+marg 2.1-3 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 301.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 394.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc fac","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11444","description": "Exc face-mm b9+marg 3.1-4 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 382.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 490.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc fac","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11446","description": "Exc face-mm b9+marg >4 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 669.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 545.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11450","description": "Removal sweat gland lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 443.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 749.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11451","description": "Removal sweat gland lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 561.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 916.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11462","description": "Removal sweat gland lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 419.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 724.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11463","description": "Removal sweat gland lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 563.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 926.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11470","description": "Removal sweat gland lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 787.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 484.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11471","description": "Removal sweat gland lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 595.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 947.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11600","description": "Exc tr-ext mal+marg 0.5 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 347.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 207.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11601","description": "Exc tr-ext mal+marg 0.6-1 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 249.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 397.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11602","description": "Exc tr-ext mal+marg 1.1-2 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 422.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 269.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11603","description": "Exc tr-ext mal+marg 2.1-3 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 322.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 479.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11604","description": "Exc tr-ext mal+marg 3.1-4 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 535.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 356.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc tr-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11606","description": "Exc tr-ext mal+marg >4 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 767.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 534.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc h-f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11620","description": "Exc h-f-nk-sp mal+marg 0.5/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 348.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 208.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11621","description": "Exc s/n/h/f/g mal+mrg 0.6-1","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 250.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 398.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11622","description": "Exc s/n/h/f/g mal+mrg 1.1-2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 437.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 283.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11623","description": "Exc s/n/h/f/g mal+mrg 2.1-3","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 351.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 510.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11624","description": "Exc s/n/h/f/g mal+mrg 3.1-4","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 582.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 400.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11626","description": "Exc s/n/h/f/g mal+mrg >4 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 703.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 494.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11640","description": "Exc f/e/e/n/l mal+mrg 0.5cm<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 213.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 355.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11641","description": "Exc f/e/e/n/l mal+mrg 0.6-1","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 411.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 260.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11642","description": "Exc f/e/e/n/l mal+mrg 1.1-2","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 304.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 463.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11643","description": "Exc f/e/e/n/l mal+mrg 2.1-3","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 545.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 382.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11644","description": "Exc f/e/e/n/l mal+mrg 3.1-4","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 670.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 475.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11646","description": "Exc f/e/e/n/l mal+mrg >4 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 660.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 871.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "trim na","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11719","description": "Trim nail(s) any number","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 25.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 13.50,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11720","description": "Debride nail 1-5","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 58.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 26.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "debride","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11721","description": "Debride nail 6 or more","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 80.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 43.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11730","description": "Removal of nail plate","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 211.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 95.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11732","description": "Remove nail plate add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 30.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 61.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drain b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11740","description": "Drain blood from under nail","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 55.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 102.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11750","description": "Removal of nail bed","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 171.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 277.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "biopsy","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11755","description": "Biopsy nail unit","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 102.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 217.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "repair","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11760","description": "Repair of nail bed","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 203.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 353.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reconst","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11762","description": "Reconstruction of nail bed","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 536.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 338.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11765","description": "Excision of nail fold toe","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 164.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 307.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11770","description": "Remove pilonidal cyst simple","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 606.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 319.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11771","description": "Remove pilonidal cyst exten","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 765.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1087.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11772","description": "Remove pilonidal cyst compl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1007.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1340.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inject","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11900","description": "Inject skin lesions </w 7","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 101.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 52.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inject","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11901","description": "Inject skin lesions >7","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 125.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 80.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "correct","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11920","description": "Correct skin color 6.0 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 350.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 197.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "corect","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11921","description": "Corect skin color 6.1-20.0cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 396.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 231.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "correct","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11922","description": "Correct skin color ea 20.0cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 52.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 108.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tx cont","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11950","description": "Tx contour defects 1 cc/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 92.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 143.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tx cont","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11951","description": "Tx contour defects 1.1-5.0cc","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 192.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 130.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tx cont","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11952","description": "Tx contour defects 5.1-10cc","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 257.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 183.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tx cont","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11954","description": "Tx contour defects >10.0 cc","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 200.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 282.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "insert","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11960","description": "Insert tissue expander(s)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1832.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replace","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11970","description": "Replace tissue expander","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1005.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11971","description": "Remove tissue expander(s)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 930.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11976","description": "Remove contraceptive capsule","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 255.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 161.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "implant","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11980","description": "Implant hormone pellet(s)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 174.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "insert","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11981","description": "Insert drug implant device","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 187.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 114.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11982","description": "Remove drug implant device","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 134.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 212.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove/","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "11983","description": "Remove/insert drug implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 263.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 186.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12001","description": "Rpr s/n/ax/gen/trnk 2.5cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 173.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 80.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12002","description": "Rpr s/n/ax/gen/trnk2.6-7.5cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 208.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 106.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12004","description": "Rpr s/n/ax/gen/trk7.6-12.5cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 132.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 242.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12005","description": "Rpr s/n/a/gen/trk12.6-20.0cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 322.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 172.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12006","description": "Rpr s/n/a/gen/trk20.1-30.0cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 377.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 211.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr s/n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12007","description": "Rpr s/n/ax/gen/trnk >30.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 425.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 262.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12011","description": "Rpr f/e/e/n/l/m 2.5 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 207.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 100.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12013","description": "Rpr f/e/e/n/l/m 2.6-5.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 105.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 216.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12014","description": "Rpr f/e/e/n/l/m 5.1-7.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 263.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 134.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12015","description": "Rpr f/e/e/n/l/m 7.6-12.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 316.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 170.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr fe/","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12016","description": "Rpr fe/e/en/l/m 12.6-20.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 402.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 231.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr fe/","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12017","description": "Rpr fe/e/en/l/m 20.1-30.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 275.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "rpr f/e","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12018","description": "Rpr f/e/e/n/l/m >30.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 311.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "closure","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12020","description": "Closure of split wound","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 337.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 549.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "closure","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12021","description": "Closure of split wound","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 252.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12031","description": "Intmd rpr s/a/t/ext 2.5 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 479.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 267.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12032","description": "Intmd rpr s/a/t/ext 2.6-7.5","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 334.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 556.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12034","description": "Intmd rpr s/tr/ext 7.6-12.5","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 607.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 363.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12035","description": "Intmd rpr s/a/t/ext 12.6-20","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 431.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 721.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12036","description": "Intmd rpr s/a/t/ext 20.1-30","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 507.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 796.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12037","description": "Intmd rpr s/tr/ext >30.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 588.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 889.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12041","description": "Intmd rpr n-hf/genit 2.5cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 258.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 482.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12042","description": "Intmd rpr n-hf/genit2.6-7.5","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 345.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 560.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12044","description": "Intmd rpr n-hf/genit7.6-12.5","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 697.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 379.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12045","description": "Intmd rpr n-hf/genit12.6-20","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 486.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 751.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12046","description": "Intmd rpr n-hf/genit20.1-30","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 573.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 926.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12047","description": "Intmd rpr n-hf/genit >30.0cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1011.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 637.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12051","description": "Intmd rpr face/mm 2.5 cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 300.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 517.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12052","description": "Intmd rpr face/mm 2.6-5.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 352.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 571.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12053","description": "Intmd rpr face/mm 5.1-7.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 379.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 667.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12054","description": "Intmd rpr face/mm 7.6-12.5cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 710.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 391.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12055","description": "Intmd rpr face/mm 12.6-20 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 537.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 932.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12056","description": "Intmd rpr face/mm 20.1-30.0","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 686.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1060.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "intmd r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "12057","description": "Intmd rpr face/mm >30.0 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 752.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1123.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13100","description": "Cmplx rpr trunk 1.1-2.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 355.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 627.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13101","description": "Cmplx rpr trunk 2.6-7.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 731.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 441.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13102","description": "Cmplx rpr trunk addl 5cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 215.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 127.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13120","description": "Cmplx rpr s/a/l 1.1-2.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 414.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 652.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13121","description": "Cmplx rpr s/a/l 2.6-7.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 455.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 781.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13122","description": "Cmplx rpr s/a/l addl 5 cm/>","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 233.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 146.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13131","description": "Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 427.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 710.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13132","description": "Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 534.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 862.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13133","description": "Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 306.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 222.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13151","description": "Cmplx rpr e/n/e/l 1.1-2.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 774.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 493.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13152","description": "Cmplx rpr e/n/e/l 2.6-7.5 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 910.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 593.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cmplx r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13153","description": "Cmplx rpr e/n/e/l addl 5cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 338.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 243.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "late cl","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "13160","description": "Late closure of wound","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1429.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14000","description": "Tis trnfr trunk 10 sq cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 891.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1141.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14001","description": "Tis trnfr trunk 10.1-30sqcm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1451.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1157.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14020","description": "Tis trnfr s/a/l 10 sq cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1255.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 997.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14021","description": "Tis trnfr s/a/l 10.1-30 sqcm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1250.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1546.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14040","description": "Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1101.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1356.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14041","description": "Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1341.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1643.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14060","description": "Tis trnfr e/n/e/l 10 sq cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1171.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1369.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14061","description": "Tis trnfr e/n/e/l10.1-30sqcm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1440.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1771.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14301","description": "Tis trnfr any 30.1-60 sq cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1541.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1949.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "tis trn","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14302","description": "Tis trnfr addl 30 sq cm/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 385.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "fillete","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "14350","description": "Filleted finger/toe flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1210.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "wound p","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15002","description": "Wound prep trk/arm/leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 373.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 609.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "wound p","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15003","description": "Wound prep addl 100 cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 77.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 124.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "wound p","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15004","description": "Wound prep f/n/hf/g","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 442.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 690.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "wnd pre","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15005","description": "Wnd prep f/n/hf/g addl cm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 154.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 205.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "harvest","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15040","description": "Harvest cultured skin graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 497.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 222.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin pi","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15050","description": "Skin pinch graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1086.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 829.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin sp","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15100","description": "Skin splt grft trnk/arm/leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1280.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1576.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin sp","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15101","description": "Skin splt grft t/a/l add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 202.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 349.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "epidrm","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15110","description": "Epidrm autogrft trnk/arm/leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1257.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1488.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "epidrm","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15111","description": "Epidrm autogrft t/a/l add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 182.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 202.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "epidrm","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15115","description": "Epidrm a-grft face/nck/hf/g","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1240.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1464.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "epidrm","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15116","description": "Epidrm a-grft f/n/hf/g addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 267.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 294.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skn spl","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15120","description": "Skn splt a-grft fac/nck/hf/g","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1234.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1536.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skn spl","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15121","description": "Skn splt a-grft f/n/hf/g add","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 390.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 243.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "derm au","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15130","description": "Derm autograft trnk/arm/leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1067.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1311.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "derm au","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15131","description": "Derm autograft t/a/l add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 160.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 175.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "derm au","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15135","description": "Derm autograft face/nck/hf/g","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1353.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1589.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "derm au","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15136","description": "Derm autograft f/n/hf/g add","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 160.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 172.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cult sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15150","description": "Cult skin grft t/arm/leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1291.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1157.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cult sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15151","description": "Cult skin grft t/a/l addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 198.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 215.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cult sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15152","description": "Cult skin graft t/a/l +%","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 247.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 264.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cult sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15155","description": "Cult skin graft f/n/hf/g","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1305.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1437.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cult sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15156","description": "Cult skin grft f/n/hfg add","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 288.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 271.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cult ep","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15157","description": "Cult epiderm grft f/n/hfg +%","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 321.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 296.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin fu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15200","description": "Skin full graft trunk","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1198.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1515.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin fu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15201","description": "Skin full graft trunk add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 266.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 137.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin fu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15220","description": "Skin full graft sclp/arm/leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1081.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1386.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin fu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15221","description": "Skin full graft add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 246.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 124.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin fu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15240","description": "Skin full grft face/genit/hf","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1407.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1667.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin fu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15241","description": "Skin full graft add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 189.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 322.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin fu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15260","description": "Skin full graft een & lips","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1490.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1782.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin fu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15261","description": "Skin full graft add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 243.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 378.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin su","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15271","description": "Skin sub graft trnk/arm/leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 281.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 150.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin su","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15272","description": "Skin sub graft t/a/l add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 47.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 32.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin su","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15273","description": "Skin sub grft t/arm/lg child","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 574.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 354.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skn sub","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15274","description": "Skn sub grft t/a/l child add","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 150.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 80.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin su","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15275","description": "Skin sub graft face/nk/hf/g","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 167.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 289.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin su","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15276","description": "Skin sub graft f/n/hf/g addl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 46.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 60.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skn sub","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15277","description": "Skn sub grft f/n/hf/g child","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 402.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 629.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skn sub","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15278","description": "Skn sub grft f/n/hf/g ch add","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 175.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 100.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin pe","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15570","description": "Skin pedicle flap trunk","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1308.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1649.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin pe","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15572","description": "Skin pedicle flap arms/legs","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1589.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1316.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pedcle","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15574","description": "Pedcle fh/ch/ch/m/n/ax/g/h/f","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1582.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1311.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "pedicle","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15576","description": "Pedicle e/n/e/l/ntroral","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1163.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1423.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "delay f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15600","description": "Delay flap trunk","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 618.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 377.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "delay f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15610","description": "Delay flap arms/legs","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 668.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 433.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "delay f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15620","description": "Delay flap f/c/c/n/ax/g/h/f","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 815.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 584.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "delay f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15630","description": "Delay flap eye/nos/ear/lip","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 837.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 610.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "transfe","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15650","description": "Transfer skin pedicle flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 676.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 918.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Mdfc fl","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15730","description": "Mdfc flap w/prsrv vasc pedcl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1630.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 2704.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "forehea","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15731","description": "Forehead flap w/vasc pedicle","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1787.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 2027.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Musc my","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15733","description": "Musc myoq/fscq flp h&n pedcl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1852.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "muscle-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15734","description": "Muscle-skin graft trunk","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2700.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "muscle-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15736","description": "Muscle-skin graft arm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2184.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "muscle-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15738","description": "Muscle-skin graft leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2298.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "island","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15740","description": "Island pedicle flap graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1492.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1810.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "neurova","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15750","description": "Neurovascular pedicle flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1671.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "free my","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15756","description": "Free myo/skin flap microvasc","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4113.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "free sk","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15757","description": "Free skin flap microvasc","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4101.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "free fa","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15758","description": "Free fascial flap microvasc","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4099.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "composi","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15760","description": "Composite skin graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1529.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1251.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GRFG AU","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15769","description": "GRFG AUTOL SOFT TISS DIR EXC","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 865.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "derma-f","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15770","description": "Derma-fat-fascia graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1206.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GRFG AU","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15771","description": "GRFG AUTOL FAT LIPO 50 CC/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 859.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1042.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GRFG AU","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15772","description": "GRFG AUTOL FAT LIPO EA ADDL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 248.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 323.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GRFG AU","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15773","description": "GRFG AUTOL FAT LIPO 25 CC/<","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1050.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 868.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "GFRG AU","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15774","description": "GFRG AUTOL FAT LIPO EA ADDL","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 314.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 239.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "hair tr","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15775","description": "Hair trnspl 1-15 punch grfts","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 455.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 683.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "hair tr","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15776","description": "Hair trnspl >15 punch grafts","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 623.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 927.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "acellul","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15777","description": "Acellular derm matrix implt","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 383.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dermabr","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15780","description": "Dermabrasion total face","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1175.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1548.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dermabr","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15781","description": "Dermabrasion segmental face","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 768.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 991.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dermabr","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15782","description": "Dermabrasion other than face","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 670.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 919.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dermabr","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15783","description": "Dermabrasion suprfl any site","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 815.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 624.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abrasio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15786","description": "Abrasion lesion single","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 236.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 434.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "abrasio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15787","description": "Abrasion lesions add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 66.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 30.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "chemica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15788","description": "Chemical peel face epiderm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 394.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 755.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "chemica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15789","description": "Chemical peel face dermal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 722.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 964.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "chemica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15792","description": "Chemical peel nonfacial","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 391.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 658.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "chemica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15793","description": "Chemical peel nonfacial","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 628.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 863.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "plastic","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15819","description": "Plastic surgery neck","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1423.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "revisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15820","description": "Revision of lower eyelid","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 910.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1028.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "revisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15821","description": "Revision of lower eyelid","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 971.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1101.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "revisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15822","description": "Revision of upper eyelid","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 710.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 828.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "revisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15823","description": "Revision of upper eyelid","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 974.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1105.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15824","description": "Removal of forehead wrinkles","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1304.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15825","description": "Removal of neck wrinkles","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1344.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15826","description": "Removal of brow wrinkles","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1016.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15828","description": "Removal of face wrinkles","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2929.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15829","description": "Removal of skin wrinkles","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2453.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc ski","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15830","description": "Exc skin abd","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1991.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15832","description": "Excise excessive skin thigh","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1559.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15833","description": "Excise excessive skin leg","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1484.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15834","description": "Excise excessive skin hip","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1511.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15835","description": "Excise excessive skin buttck","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1578.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15836","description": "Excise excessive skin arm","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1289.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15837","description": "Excise excess skin arm/hand","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1217.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1484.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15838","description": "Excise excess skin fat pad","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1097.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15839","description": "Excise excess skin & tissue","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1260.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1534.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "nerve p","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15840","description": "Nerve palsy fascial graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1828.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "nerve p","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15841","description": "Nerve palsy muscle graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3178.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "nerve p","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15842","description": "Nerve palsy microsurg graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4820.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin an","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15845","description": "Skin and muscle repair face","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1793.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "exc ski","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15847","description": "Exc skin abd add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 736.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15850","description": "Remove sutures same surgeon","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 163.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 66.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15851","description": "Remove sutures diff surgeon","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 77.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 188.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dressin","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15852","description": "Dressing change not for burn","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 79.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "test fo","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15860","description": "Test for blood flow in graft","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 190.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "suction","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15876","description": "Suction lipectomy head&neck","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 560.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "suction","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15877","description": "Suction lipectomy trunk","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1166.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "suction","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15878","description": "Suction lipectomy upr extrem","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 560.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "suction","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15879","description": "Suction lipectomy lwr extrem","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1007.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15920","description": "Removal of tail bone ulcer","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1077.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15922","description": "Removal of tail bone ulcer","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1422.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15931","description": "Remove sacrum pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1208.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15933","description": "Remove sacrum pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1481.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15934","description": "Remove sacrum pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1704.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15935","description": "Remove sacrum pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2063.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15936","description": "Remove sacrum pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1625.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15937","description": "Remove sacrum pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1875.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15940","description": "Remove hip pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1201.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15941","description": "Remove hip pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1581.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15944","description": "Remove hip pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1648.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15945","description": "Remove hip pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1821.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15946","description": "Remove hip pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2901.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15950","description": "Remove thigh pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1049.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15951","description": "Remove thigh pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1524.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15952","description": "Remove thigh pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1635.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15953","description": "Remove thigh pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1801.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15956","description": "Remove thigh pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2097.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "15958","description": "Remove thigh pressure sore","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2128.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "initial","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "16000","description": "Initial treatment of burn(s)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 81.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 136.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dress/d","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "16020","description": "Dress/debrid p-thick burn s","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 99.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 155.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dress/d","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "16025","description": "Dress/debrid p-thick burn m","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 284.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 198.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "dress/d","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "16030","description": "Dress/debrid p-thick burn l","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 354.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 235.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "incisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "16035","description": "Incision of burn scab initi","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 329.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "escharo","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "16036","description": "Escharotomy addl incision","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 133.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17000","description": "Destruct premalg lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 91.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 113.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17003","description": "Destruct premalg les 2-14","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 11.50,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3.50,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destroy","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17004","description": "Destroy premal lesions 15/>","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 162.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 281.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17106","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 582.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 460.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17107","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 762.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 599.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17108","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1073.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 877.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17110","description": "Destruct b9 lesion 1-14","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 195.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 112.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17111","description": "Destruct lesion 15 or more","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 136.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 228.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "chemica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17250","description": "Chemical cautery tissue","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 63.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 158.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17260","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 124.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 178.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17261","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 152.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 265.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17262","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 192.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 319.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17263","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 346.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 214.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17264","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 371.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 229.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17266","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 269.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 422.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17270","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 166.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 268.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17271","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 183.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 297.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17272","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 212.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 338.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17273","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 240.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 375.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17274","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 293.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 438.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17276","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 353.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 508.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17280","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 152.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 253.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17281","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 207.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 322.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17282","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 240.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 369.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17283","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 436.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 299.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17284","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 349.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 497.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "destruc","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17286","description": "Destruction of skin lesions","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 475.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 637.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mohs 1","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17311","description": "Mohs 1 stage h/n/hf/g","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1148.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 593.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mohs ad","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17312","description": "Mohs addl stage","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 315.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 698.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mohs 1","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17313","description": "Mohs 1 stage t/a/l","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1078.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 532.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mohs ad","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17314","description": "Mohs addl stage t/a/l","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 293.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 669.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mohs su","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17315","description": "Mohs surg addl block","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 83.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 130.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cryothe","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17340","description": "Cryotherapy of skin","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 87.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 93.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "skin pe","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17360","description": "Skin peel therapy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 220.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 161.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "hair re","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "17380","description": "Hair removal by electrolysis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 86.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drainag","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19000","description": "Drainage of breast lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 195.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 76.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drain b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19001","description": "Drain breast lesion add-on","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 38.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 48.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "incisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19020","description": "Incision of breast lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 565.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 881.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "injecti","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19030","description": "Injection for breast x-ray","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 305.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 133.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bx brea","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19081","description": "Bx breast 1st Lesion strtctc","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 291.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1044.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bx brea","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19082","description": "Bx breast add Lesion strtctc","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 146.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 838.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bx brea","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19083","description": "Bx breast 1st Lesion US imag","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1046.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 276.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bx brea","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19084","description": "Bx breast add Lesion US imag","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 136.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 823.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bx brea","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19085","description": "BX BREAST 1ST LESION MR IMAG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 318.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1608.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bx brea","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19086","description": "BX BREAST ADD LESION MR IMAG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1277.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 158.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bx brea","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19100","description": "Bx breast percut w/o image","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 125.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 288.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "biopsy","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19101","description": "Biopsy of breast open","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 403.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 625.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "cryosur","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19105","description": "Cryosurg ablate fa each","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 380.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4965.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "nipple","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19110","description": "Nipple exploration","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 915.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 637.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19112","description": "Excise breast duct fistula","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 865.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 582.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19120","description": "Removal of breast lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 940.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 753.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19125","description": "Excision breast lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1038.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 835.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excisio","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19126","description": "Excision addl breast lesion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 289.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19281","description": "PERQ DEVICE BREAST 1ST IMAG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 447.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 175.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19282","description": "PERQ DEVICE BREAST EA IMAG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 87.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 319.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19283","description": "PERQ DEV BREAST 1ST STRTCTC","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 493.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 176.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19284","description": "PERQ DEV BREAST ADD STRTCTC","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 377.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 89.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19285","description": "PERQ DEV BREAST 1ST US IMAG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 787.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 150.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19286","description": "PERQ DEV BREAST ADD US IMAG","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 666.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 75.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19287","description": "PERQ DEV BREAST 1ST MR GUIDE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1351.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 223.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "perq de","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19288","description": "PERQ DEV BREAST ADD MR GUIDE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1070.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 112.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "Prep tu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19294","description": "Prep tum cav iort prtl mast","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 296.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "place p","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19296","description": "Place po breast cath for rad","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 377.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 7675.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "place b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19297","description": "Place breast cath for rad","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 169.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "place b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19298","description": "Place breast rad tube/caths","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 562.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1815.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19300","description": "Removal of breast tissue","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 774.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1056.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "partial","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19301","description": "Partial mastectomy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1194.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "p-maste","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19302","description": "P-mastectomy w/ln removal","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1640.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mast si","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19303","description": "Mast simple complete","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1734.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mast ra","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19305","description": "Mast radical","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2071.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mast ra","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19306","description": "Mast rad urban type","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2208.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "mast mo","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19307","description": "Mast mod rad","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2144.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "suspens","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19316","description": "Suspension of breast","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1418.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "reducti","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19318","description": "Reduction of large breast","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1958.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "enlarge","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19325","description": "Enlarge breast with implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1098.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19328","description": "Removal of breast implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 993.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19330","description": "Removal of implant material","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1156.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "immedia","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19340","description": "Immediate breast prosthesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1358.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "delayed","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19342","description": "Delayed breast prosthesis","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1362.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "breast","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19350","description": "Breast reconstruction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1203.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}, {"negotiated_type": "fee schedule","negotiated_rate": 1500.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "correct","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19355","description": "Correct inverted nipple(s)","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1367.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1104.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "breast","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19357","description": "Breast reconstruction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2088.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "breast","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19361","description": "Breast reconstr w/lat flap","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2788.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "breast","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19364","description": "Breast reconstruction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4875.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "breast","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19367","description": "Breast reconstruction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3167.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "breast","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19368","description": "Breast reconstruction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3888.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "breast","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19369","description": "Breast reconstruction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3611.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "surgery","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19370","description": "Surgery of breast capsule","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1200.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19371","description": "Removal of breast capsule","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1275.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "revise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19380","description": "Revise breast reconstruction","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1445.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "design","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "19396","description": "Design custom breast implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 523.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 254.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "explore","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20100","description": "Explore wound neck","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1086.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "explore","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20101","description": "Explore wound chest","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 380.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1112.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "explore","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20102","description": "Explore wound abdomen","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 460.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1154.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "explore","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20103","description": "Explore wound extremity","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 619.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1054.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "excise","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20150","description": "Excise epiphyseal bar","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1805.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "muscle","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20200","description": "Muscle biopsy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 169.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 413.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "deep mu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20205","description": "Deep muscle biopsy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 571.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 278.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "needle","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20206","description": "Needle biopsy muscle","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 442.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 101.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone bi","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20220","description": "Bone biopsy trocar/needle","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 433.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 146.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone bi","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20225","description": "Bone biopsy trocar/needle","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 218.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 714.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone bi","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20240","description": "Bone biopsy excisional","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 241.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "bone bi","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20245","description": "Bone biopsy excisional","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 588.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "open bo","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20250","description": "Open bone biopsy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 706.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "open bo","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20251","description": "Open bone biopsy","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 772.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "injecti","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20500","description": "Injection of sinus tract","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 156.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 214.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inject","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20501","description": "Inject sinus tract for x-ray","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 68.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 274.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20520","description": "Removal of foreign body","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 253.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 378.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20525","description": "Removal of foreign body","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 832.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 420.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "ther in","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20526","description": "Ther injection carp tunnel","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 145.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 102.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inj dup","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20527","description": "Inj dupuytren cord w/enzyme","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 155.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 116.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inj ten","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20550","description": "Inj tendon sheath/ligament","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 69.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 100.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inj ten","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20551","description": "Inj tendon origin/insertion","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 70.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 103.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inj tri","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20552","description": "Inj trigger point 1/2 muscl","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 67.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 96.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "inject","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20553","description": "Inject trigger points 3/>","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 111.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 77.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "place n","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20555","description": "Place ndl musc/tis for rt","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 587.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NDL INS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20560","description": "NDL INSJ W/O NJX 1 OR 2 MUSC","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 29.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 47.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "NDL INS","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20561","description": "NDL INSJ W/O NJX 3+ MUSC","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 69.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 43.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drain/i","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20600","description": "Drain/inject joint/bursa","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 63.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 92.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "arthrocnt as","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20604","description": "ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 82.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 146.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drain/i","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20605","description": "Drain/inject joint/bursa","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 66.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 97.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "arthrocentes","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20606","description": "ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 159.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 94.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "drain/i","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20610","description": "Drain/inject joint/bursa","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 81.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 115.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "arthrocentes","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20611","description": "ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 106.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 178.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "aspirat","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20612","description": "Aspirate/inj ganglion cyst","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 74.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 114.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "treatme","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20615","description": "Treatment of bone cyst","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 290.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 467.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "insert","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20650","description": "Insert and remove bone pin","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 284.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 396.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apply r","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20660","description": "Apply rem fixation device","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 436.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "applica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20661","description": "Application of head brace","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 924.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "applica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20662","description": "Application of pelvis brace","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 935.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "applica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20663","description": "Application of thigh brace","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 860.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "applica","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20664","description": "Application of halo","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1595.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20665","description": "Removal of fixation device","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 168.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 204.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20670","description": "Removal of support implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 658.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 247.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "removal","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20680","description": "Removal of support implant","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 714.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1059.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apply b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20690","description": "Apply bone fixation device","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 1072.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "apply b","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20692","description": "Apply bone fixation device","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2009.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "adjust","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20693","description": "Adjust bone fixation device","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 798.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "remove","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20694","description": "Remove bone fixation device","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 782.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "09", "11", "12", "13", "14", "15", "16", "17", "18", "20", "26", "33", "41", "42", "49", "50", "53", "55", "56", "60", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 610.00,"expiration_date": "9999-12-31","service_code": ["05", "06", "07", "08", "19", "21", "22", "23", "24", "25", "31", "32", "34", "51", "52", "54", "57", "58", "61", "62", "65"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "comp mu","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20696","description": "Comp multiplane ext fixation","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 2138.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "comp ex","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20697","description": "Comp ext fixate strut change","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 3793.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "MNL PRE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20700","description": "MNL PREP&INSJ DP RX DLVR DEV","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 149.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RMVL DE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20701","description": "RMVL DEEP RX DELIVERY DEVICE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 113.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "MNL PRE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20702","description": "MNL PREP&INSJ IMED RX DEV","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 249.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RMVL IM","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20703","description": "RMVL IMED RX DELIVERY DEVICE","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 179.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "MNL PRE","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20704","description": "MNL PREP&INSJ I-ARTIC RX DEV","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 260.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "RMVL I-","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20705","description": "RMVL I-ARTIC RX DELIVERY DEV","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 214.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replant","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20802","description": "Replantation arm complete","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 4922.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replant","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20805","description": "Replant forearm complete","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 5850.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replant","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20808","description": "Replantation hand complete","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "9999-12-31","service_code": ["02", "10"],"billing_class": "professional"}]}
,{"provider_references":[721],"negotiated_prices":[{"negotiated_type": "fee schedule","negotiated_rate": 7061.00,"expiration_date": "9999-12-31","service_code": ["01", "03", "04", "05", "06", "07", "08", "09", "11", "12", "13", "14", "15", "16", "17", "18", "19", "20", "21", "22", "23", "24", "25", "26", "31", "32", "33", "34", "41", "42", "49", "50", "51", "52", "53", "54", "55", "56", "57", "58", "60", "61", "62", "65", "71", "72", "81", "99"],"billing_class": "professional"}]}
]},{"negotiation_arrangement": "ffs","name": "replant","billing_code_type": "CPT","billing_code_type_version": "2022","billing_code": "20816","description": "Replantation digit complete","negotiated_rates": [{
"provider_references":[721],"negotiated_prices":[{"negotiated_type": "negotiated","negotiated_rate": 0.00,"expiration_date": "99