{"reporting_entity_name":"Healthfirst Insurance Company","reporting_entity_type":"Health Insurance Issuer","last_updated_on":"2026-08-26","version":"2.0.0","provider_references":[{"provider_group_id":1,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1003294307],"tin":{"type":"npi","value":"1003294307"}}]},{"provider_group_id":2,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1000000000],"tin":{"type":"npi","value":"1000000000"}}]},{"provider_group_id":3,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1003691064],"tin":{"type":"npi","value":"1003691064"}}]},{"provider_group_id":4,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1013253327],"tin":{"type":"npi","value":"1013253327"}}]},{"provider_group_id":5,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1013291335],"tin":{"type":"npi","value":"1013291335"}}]},{"provider_group_id":6,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1013292002],"tin":{"type":"npi","value":"1013292002"}}]},{"provider_group_id":7,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1013154657],"tin":{"type":"npi","value":"1013154657"}}]},{"provider_group_id":8,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1013360528],"tin":{"type":"npi","value":"1013360528"}}]},{"provider_group_id":9,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1013902303],"tin":{"type":"npi","value":"1013902303"}}]},{"provider_group_id":10,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1023381100],"tin":{"type":"npi","value":"1023381100"}}]},{"provider_group_id":11,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1023563863],"tin":{"type":"npi","value":"1023563863"}}]},{"provider_group_id":1,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1326519612],"tin":{"type":"npi","value":"1326519612"}}]},{"provider_group_id":2,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1316681430],"tin":{"type":"npi","value":"1316681430"}}]},{"provider_group_id":3,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1326525338],"tin":{"type":"npi","value":"1326525338"}}]},{"provider_group_id":4,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1326662008],"tin":{"type":"npi","value":"1326662008"}}]},{"provider_group_id":5,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1326702317],"tin":{"type":"npi","value":"1326702317"}}]},{"provider_group_id":6,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1326768862],"tin":{"type":"npi","value":"1326768862"}}]},{"provider_group_id":7,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1326817693],"tin":{"type":"npi","value":"1326817693"}}]},{"provider_group_id":8,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1336113398],"tin":{"type":"npi","value":"1336113398"}}]},{"provider_group_id":9,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1336650688],"tin":{"type":"npi","value":"1336650688"}}]},{"provider_group_id":10,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1336984178],"tin":{"type":"npi","value":"1336984178"}}]},{"provider_group_id":11,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1346629995],"tin":{"type":"npi","value":"1346629995"}}]},{"provider_group_id":1,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1659061489],"tin":{"type":"npi","value":"1659061489"}}]},{"provider_group_id":2,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1659534907],"tin":{"type":"npi","value":"1659534907"}}]},{"provider_group_id":3,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1649837113],"tin":{"type":"npi","value":"1649837113"}}]},{"provider_group_id":4,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1659754885],"tin":{"type":"npi","value":"1659754885"}}]},{"provider_group_id":5,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1659822963],"tin":{"type":"npi","value":"1659822963"}}]},{"provider_group_id":6,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1669470019],"tin":{"type":"npi","value":"1669470019"}}]},{"provider_group_id":7,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1669636577],"tin":{"type":"npi","value":"1669636577"}}]},{"provider_group_id":8,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1669873071],"tin":{"type":"npi","value":"1669873071"}}]},{"provider_group_id":9,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1669912341],"tin":{"type":"npi","value":"1669912341"}}]},{"provider_group_id":10,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1679003404],"tin":{"type":"npi","value":"1679003404"}}]},{"provider_group_id":11,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1679295166],"tin":{"type":"npi","value":"1679295166"}}]},{"provider_group_id":1,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1972681484],"tin":{"type":"npi","value":"1972681484"}}]},{"provider_group_id":2,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1972944080],"tin":{"type":"npi","value":"1972944080"}}]},{"provider_group_id":3,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1982417119],"tin":{"type":"npi","value":"1982417119"}}]},{"provider_group_id":4,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1982758066],"tin":{"type":"npi","value":"1982758066"}}]},{"provider_group_id":5,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1992247571],"tin":{"type":"npi","value":"1992247571"}}]},{"provider_group_id":6,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1992486484],"tin":{"type":"npi","value":"1992486484"}}]},{"provider_group_id":7,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1000000000],"tin":{"type":"npi","value":"1000000000"}}]},{"provider_group_id":8,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1962932871],"tin":{"type":"npi","value":"1962932871"}}]},{"provider_group_id":9,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1194098251],"tin":{"type":"npi","value":"1194098251"}}]},{"provider_group_id":10,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1043079064],"tin":{"type":"npi","value":"1043079064"}}]},{"provider_group_id":11,"network_name":["Healthfirst Qualified Health Plan"],"provider_groups":[{"npi":[1609946821],"tin":{"type":"npi","value":"1609946821"}}]}],"in_network":[{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[8]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[8]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[8]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[8]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[8]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[8]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[8]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[8]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[8]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36425","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[8]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.5,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92570","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96372","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"T1013","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90966","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90954","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.68,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.86,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90460","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.1,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90965","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90833","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.24,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[8]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.59,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.35,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90847","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.73,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0108","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92552","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99343","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99401","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94013","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90957","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":328.0,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30300","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.8,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[8]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99241","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.42,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90960","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94060","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.57,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94664","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99356","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.9,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92557","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.91,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99347","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99344","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99342","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.6,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26","95"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99443","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36420","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.65,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":116.22,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94014","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99242","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.64,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94012","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.88,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97804","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90832","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.21,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.18,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92551","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90961","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69210","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.14,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90838","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.84,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0459","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.83,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"28880","date_of_service":"2026-08-06","locality":"1320203","zip":"10910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.66,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90471","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.78,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90969","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.67,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94016","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92553","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":74.56,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.04,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92555","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96116","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[1]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.17,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90951","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99345","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.76,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"24020","date_of_service":"2026-08-06","locality":"1328299","zip":"12028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90834","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.47,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"G0109","name":"UNK","description":"UNK","cbsa":"35004","date_of_service":"2026-08-06","locality":"1320202","zip":"00501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.09,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92587","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90837","name":"UNK","description":"UNK","cbsa":"40380","date_of_service":"2026-08-06","locality":"1328299","zip":"13143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"15380","date_of_service":"2026-08-06","locality":"1328299","zip":"14001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.05,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94015","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90968","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7.85,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.15,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99195","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.45,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90785","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99442","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.71,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[2]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[4]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71046","name":"UNK","description":"UNK","cbsa":"35614","date_of_service":"2026-08-06","locality":"1320201","zip":"10001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.16,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["26"]}],"provider_references":[10]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99349","name":"UNK","description":"UNK","cbsa":"27060","date_of_service":"2026-08-06","locality":"1328299","zip":"13053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.72,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94011","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.03,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90791","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":60.38,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90970","name":"UNK","description":"UNK","cbsa":"28740","date_of_service":"2026-08-06","locality":"1320203","zip":"12401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4.11,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[9]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.89,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","name":"UNK","description":"UNK","cbsa":"45060","date_of_service":"2026-08-06","locality":"1328299","zip":"13020","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.63,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90955","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.52,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92540","name":"UNK","description":"UNK","date_of_service":"2026-08-06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[4]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[6]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[3]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[5]},{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[2]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92550","name":"UNK","description":"UNK","cbsa":"48060","date_of_service":"2026-08-06","locality":"1328299","zip":"13601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[11]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92081","name":"UNK","description":"UNK","cbsa":"21300","date_of_service":"2026-08-06","locality":"1328299","zip":"14814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.77,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"],"billing_code_modifier":["TC"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90958","name":"UNK","description":"UNK","cbsa":"33","date_of_service":"2026-08-06","locality":"1328299","zip":"12010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.58,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99243","name":"UNK","description":"UNK","cbsa":"10580","date_of_service":"2026-08-06","locality":"1328299","zip":"12007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.3,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","name":"UNK","description":"UNK","cbsa":"46540","date_of_service":"2026-08-06","locality":"1328299","zip":"13054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.12,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]},{"negotiation_arrangement":"ffs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","name":"UNK","description":"UNK","cbsa":"13780","date_of_service":"2026-08-06","locality":"1328299","zip":"13732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","setting":"outpatient","service_code":["13","23","21","31","49","02","65","81","32","24","22","33"]}],"provider_references":[7]}]}]}